Beaudin, Kiana L
Beaudin, Kiana L is an individual health care provider with primary practice located at S2845 White Eagle Rd , Baraboo WI 53913-9064. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Beaudin, Kiana L can be contacted via phone (608) 355-1240.Contact Information
Primary practice address
S2845 White Eagle Rd
Baraboo WI 53913-9064
Phone: (608) 355-1240
Fax: (608) 355-9643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2631-23 | Wisconsin |
Profile Details
| NPI number | 1457664625 |
|---|---|
| LBN Legal business name | Beaudin, Kiana L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2010 |
| Last updated | Feb 1st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457664625 | NPPES |
| Wisconsin | MEDICAID | 100011137 |
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