Individual
KEVIN ROY POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12500 AURORA DR, PLEASANT PRAIRIE, WI 53158-1227
(262) 857-5000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 857-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7400
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252142
—
WI
Enumeration date
02/24/2006
Last updated
10/19/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us