Kiesau, Ann I

Kiesau, Ann I is an individual health care provider with primary practice located at 2980 Squalicum Pkwy Suite 304, Bellingham WA 98225-1880. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Kiesau, Ann I can be contacted via phone (360) 647-3377.

Contact Information

Primary practice address
2980 Squalicum Pkwy Suite 304 Bellingham WA 98225-1880
Phone: (360) 647-3377
Fax: (360) 752-3214
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD60130214 Washington

Profile Details

NPI number 1568625655
LBN Legal business name Kiesau, Ann I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Feb 1st, 2012 - about 14 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 1568625655 NPPES
Washington MEDICAID 1568625655

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