Individual
DR. KIERAN MCAVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
N20W22961 WATERTOWN RD, WAUKESHA, WI 53186-1306
(262) 875-5070
Mailing address
N20W22961 WATERTOWN RD, WAUKESHA, WI 53186-1306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74696-20
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
74696-20
WI
Other
Enumeration date
03/24/2019
Last updated
08/22/2023
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