Individual
KRYSTINA L KIENAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-5990
Mailing address
343 EVERGREEN LN, PEWAUKEE, WI 53072-2403
(262) 719-0519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017032701
WI
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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