Individual
MRS. ELIZABETH A. KEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1111 DELAFIELD ST, SUITE 209, WAUKESHA, WI 53188-3403
(262) 542-0444
(262) 542-8214
Mailing address
1111 DELAFIELD ST, SUITE 209, WAUKESHA, WI 53188-3403
(262) 542-0444
(262) 542-8214
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2013
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001468270
MEDICARE ID
WI
05
—
42887600
—
WI
Enumeration date
07/21/2006
Last updated
05/24/2022
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