Individual
KIANA L BEAUDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
S2845 WHITE EAGLE RD, BARABOO, WI 53913-9064
(608) 355-1240
(608) 355-9643
Mailing address
S2845 WHITE EAGLE RD, BARABOO, WI 53913-9064
(608) 355-1240
(608) 355-9643
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2631-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100011137
—
WI
Enumeration date
07/16/2010
Last updated
02/01/2022
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