Individual
BRADLEY JAMES KIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5000 MEMORIAL DR, TWO RIVERS, WI 54241-3900
(920) 794-5000
(920) 794-5382
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
16937-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100367158
—
WI
Enumeration date
10/13/2023
Last updated
09/10/2025
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