Michaud, Koryn Kiesling

Michaud, Koryn Kiesling is an sole proprietor health care provider with primary practice located at 1329 Gusdorf Rd , Taos NM 87571. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Michaud, Koryn Kiesling can be contacted via phone (757) 737-3415.

Contact Information

Primary practice address
1329 Gusdorf Rd Taos NM 87571
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 53742 New Mexico

Profile Details

NPI number 1750781316
LBN Legal business name Michaud, Koryn Kiesling
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2014
Last updated Aug 30th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750781316 NPPES
Colorado Other 1617165 UNKNOWN

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