Individual
KYLE HIATT MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6630 UNIVERSITY AVE, MADISON, WI 53562-3036
(608) 263-6540
(608) 263-7568
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101053
WI
363L00000X
Nurse Practitioner
2631
WI
Other
Enumeration date
04/12/2006
Last updated
03/20/2012
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