Individual
LISA ANNE KIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4677 TOWNE CENTRE RD STE 301, SAGINAW, MI 48604-2848
(855) 298-9888
(989) 497-3128
Mailing address
PO BOX 779, TAWAS CITY, MI 48764-0779
(855) 298-9888
(989) 497-3128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008390
MI
Other
Enumeration date
09/25/2017
Last updated
04/06/2021
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