Individual
KRISTYN J HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2275 DEMING WAY, MIDDLETON, WI 53562-5527
(608) 417-8500
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1799
—
363AS0400X
Surgical Physician Assistant
1799
WI
Other
Enumeration date
10/20/2006
Last updated
02/16/2021
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