Individual
DENNIS KIESEL
Active
Individual
DENNIS KIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1490
NV
363AM0700X
Medical Physician Assistant
PA1490
NV
363AS0400X
Surgical Physician Assistant
9794
MN
363AS0400X
Surgical Physician Assistant
Primary
PA1490
NV
Other
Enumeration date
06/21/2005
Last updated
12/13/2016
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