# ANN KIESAU MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104381896
- **Authorized official:** ANN I KIESAU (OWNER)
- **Authorized official phone:** (360) 510-9701

## Contact information

- **Practice address:** 3009 SQUALICUM PKWY, BELLINGHAM, WA 98225-1939
- **Practice address phone:** (360) 788-7740
- **Mailing address:** 1765 AQUILA CT, BELLINGHAM, WA 98226-7879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2019
- **Last updated:** 02/06/2019