Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kirsten D Pethan, PA-C

Individual provider Physician Assistant · NPI 1033465679

Kirsten D Pethan, PA-C is a Physician Assistant in Appleton, Wisconsin. Licensed in Minnesota and Wisconsin. Registered with an NPI since 2012.

Licensed in
MN, WI
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

145 W Calumet St
Appleton, WI 54915-4934
Phone: (920) 967-4141
Fax: (833) 972-1585
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5206 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 11202 (MN)

Record details

NPI number1033465679
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 1, 2012
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

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