Individual
MS. JAMIE D KEDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, CAA
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 805-8700
(414) 259-1522
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1671
WI
367H00000X
Anesthesiologist Assistant
2014032535
MO
367H00000X
Anesthesiologist Assistant
Primary
41
WI
Other
Enumeration date
05/15/2006
Last updated
08/28/2018
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