Nicole Marie Kiesow in Fosston - Physician Assistant
Nicole Marie Kiesow - NPI 1356502769
Nicole Marie Kiesow is a Physician Assistant in Fosston, Minnesota. Nicole Marie Kiesow practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nicole Marie Kiesow is 1356502769. The last update date is 2018-04-16.
Nicole Marie Kiesow's current location address is 900 Hilligoss Blvd Se, Fosston, Minnesota. You can contact this provider via phone number 2184351212 and fax number 2184352550. The mailing address for Nicole Marie Kiesow is 900 Hilligoss Blvd Se, Fosston, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Marie Kiesow |
|---|---|
| Address | 900 Hilligoss Blvd Se, Fosston, Minnesota |
| Phone Number | 2184351212 |
| Fax Number | 2184352550 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1356502769 |
|---|---|
| Provider Enumeration Date | 2008-06-18 |
| Last Updated Date | 2018-04-16 |
Provider Mailing Address Detail
| Address | 900 Hilligoss Blvd Se |
|---|---|
| City | Fosston |
| State | Minnesota (MN) |
| Post Code | 56542 |
| Phone Number | 2184351212 |
| Fax Number | 2184352550 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Nicole Marie Kiesow's 1356502769?
The Nicole Marie Kiesow's NPI (National Provider Identifier) Number is 1356502769. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Nicole Marie Kiesow?
The Nicole Marie Kiesow is physically situated at 900 Hilligoss Blvd Se, in the city of Fosston, state of MN, with the postal code 56542.
What is the Nicole Marie Kiesow's specialty and taxonomy code?
The Nicole Marie Kiesow's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Nicole Marie Kiesow receive its 1356502769 assignment from the Centers for Medicare & Medicaid Services?
The Nicole Marie Kiesow was assigned its 1356502769 by the Centers for Medicare & Medicaid Services on 2008-06-18.
As of what date was the information pertaining to Nicole Marie Kiesow, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Nicole Marie Kiesow, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-04-16.
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