Individual
KIELEY PAIDISETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3201 S 16TH ST, #1000, MILWAUKEE, WI 53215-4537
(414) 649-3810
Mailing address
PO BOX 70520, MILWAUKEE, WI 53207-0520
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5414-33
WI
Other
Enumeration date
09/05/2013
Last updated
12/09/2014
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