| Doctor Name: | MISS KIRSTEN ELIZABETH WETZEL |
| NPI Number: | 1740673243 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | OA003496 |
| Business Practice Address: | 40 W Frack St Frackville, PA - 179311719 |
| Business Phone Number: | 5707946123 |
| Business Fax Number: | |
| Mailing Address: | 22 Spruce St, ASHLAND |
| State: | PA |
| Postal Code: | 179219588 |
| Phone Number: | 5705906611 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2015 |
| NPI Last Update Date: | 03/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | OA003496 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |