Individual
DR. KYLE HASELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 490-9046
Mailing address
1306 HANNAH ST, GREEN BAY, WI 54303-1900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
28961
MN
207L00000X
Anesthesiology Physician
64291
MN
207L00000X
Anesthesiology Physician
Primary
82380
WI
207R00000X
Internal Medicine Physician
28386
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831620491
—
WI
Enumeration date
03/24/2017
Last updated
04/03/2026
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