Kate Niesen, PA-C
NPI #1063036093 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1063036093
- Entity Type
- Individual
- Name
- Kate Niesen, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 5, 2020
- Last Updated
- Jan 5, 2023
Practice Location
- Address
- 1000 N WESTMORELAND RD
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-1658
- Phone
- (847) 582-2134
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Student in an Organized Health Care Education/Training Program |
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