| Doctor Name: | JANET E. KIESLICH |
| NPI Number: | 1053339796 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 1518 |
| Business Practice Address: | 3805a Spring St Ste 330 Racine, WI - 534051600 |
| Business Phone Number: | 2626878640 |
| Business Fax Number: | 2626878641 |
| Mailing Address: | 3805a Spring St Ste 330, RACINE |
| State: | WI |
| Postal Code: | 534051600 |
| Phone Number: | 2626878640 |
| Fax Number: | 2626878641 |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LC1500X |
| License Number: | 1518 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |