Kyle D. Kiesewetter
Kyle D. Kiesewetter is a Gerontology Clinical Nurse Specialist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2020.
- Licensed in
- IL
- In the registry since
- 2020
Practice location Address checks out
221 NE Glen Oak AvePeoria, IL 61636-0001
Phone: (309) 672-4859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Clinical Nurse Specialist (primary) | Taxonomy 364SG0600X · Licence 209.020932 (IL) |
|---|
Record details
| NPI number | 1598399693 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 27, 2020 |
| Last updated in NPPES | February 27, 2020 |
| Certification date | February 27, 2020 |
| Mailing address | 1210 N Old Trail Rd, East Peoria, IL 61611-1212 |
Other providers in Peoria
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Melanie R Collins, APN
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Melissa J Joos, RN
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Katelynn Madden, APRN, CNS
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Julie L O'Brien, APN, CNS
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Melissi Lynn Stanley, APN
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Michelle Lynn Stickelmaier, APN
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