Individual
PAULA KIESNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-8798
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
006006
AZ
207R00000X
Internal Medicine Physician
R1702
AZ
208M00000X
Hospitalist Physician
Primary
006006
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R1702
TRAINING PERMIT
AZ
Enumeration date
06/17/2009
Last updated
11/06/2024
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