KYLE KIESEWETTER

Clinical Nurse Specialist - Gerontology

Active Individual
NPI: 1598399693

Practice Address

221 NE GLEN OAK AVE
Peoria, IL 61636

Phone: (309) 672-4859

Specialties

Specialty Code Primary License
Clinical Nurse Specialist - Gerontology 364SG0600X Yes 209.020932 (IL)

Frequently Asked Questions

NPI 1598399693 is the National Provider Identifier for KYLE KIESEWETTER, a Clinical Nurse Specialist - Gerontology provider located in Peoria, IL. This NPI was enumerated on February 27, 2020.
KYLE KIESEWETTER practices at 221 NE GLEN OAK AVE, Peoria, IL 61636.

Quick Facts

NPI
1598399693
Type
Individual
Enumerated
Feb 27, 2020
Last Updated
Feb 27, 2020

Nearby Providers