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NPI Code Detail

MEDICARE: KATHERINE STOLP KEISLER FNP-BC

MEDICARE:   KATHERINE STOLP KEISLER  FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner5764-33WI

General Provider Information

NPI Number : 1972923530
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE STOLP KEISLER FNP-BC
Provider Business Mailing Address
First Line : 2829 COUNTY HIGHWAY I
Second Line : SUITE 2
City : CHIPPEWA FALLS
State : WI
Zip : 54729-2652
Country : US
Telephone Number : 715-726-3096
Fax Number :
Provider Business Practice Location Address
First Line : 2829 COUNTY HIGHWAY I
Second Line : SUITE 2
City : CHIPPEWA FALLS
State : WI
Zip : 54729-2652
Country : US
Telephone Number : 715-726-3096
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2014
Last Update Date : 04/22/2014

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Directions to “ KATHERINE STOLP KEISLER FNP-BC” Practice Location

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