Individual
KAITLYN KIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
15522
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
15522
WI
Other
Enumeration date
07/01/2024
Last updated
09/04/2024
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