Individual
KAYLA FRIEDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 MINISTRY PKWY, WESTON, WI 54476-5213
(715) 393-1000
Mailing address
3400 MINISTRY PKWY, WESTON, WI 54476-5213
(715) 393-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7418
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2022
Last updated
04/11/2025
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