Teasha L Kaepernick PA

NPI 1922014406 - Physician Assistant - 363A00000X

NPI Details
NPI 1922014406
Gender Female
Enumeration Date 08/01/2006
Last Updated 07/30/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1405 MILL ST
NEW LONDON WI, 54961-2155, US
Phone (920) 531-2291
Fax (920) 531-2207
Business Location
1405 MILL ST
PO BOX 65
NEW LONDON WI, 54961-2155, US
Phone (920) 531-2291
Fax (920) 531-2207
Toxanomy
Taxonomy Code 363A00000X
License State Wisconsin
License Number 2038
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According to our database, Teasha L Kaepernick PA NPI is 1922014406, taxonomy code is 363A00000X and license number is 2038, license state is located at Wisconsin. Teasha L Kaepernick PA physically located at 1405 Mill St, New London WI, 54961-2155. NPI Number Teasha L Kaepernick PA has the Individual type.

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1922014406 NPI number is provided on an as is basis without warranty of any kind. 1922014406 is maintained by the National Plan & Provider Enumeration System. The contents of Teasha L Kaepernick PA are for informational purposes only.