Individual
KYLE A DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-1305
(608) 262-2398
(608) 262-9999
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4550
WI
Other
Enumeration date
10/25/2018
Last updated
03/04/2024
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