Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIRSTEN D PETHAN, PA-C
ActiveKIRSTEN D PETHAN, PA-C is a Physician Assistant healthcare provider located in APPLETON, Wisconsin. NPI 1033465679 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · APPLETON, WI
Registration Details
- NPI Number
- 1033465679
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2012 (14.0247988954 yrs)
- Last Updated
- Nov 5, 2025
- Licenses
-
5206 (WI)11202 (MN)
Practice Information
- Address
-
145 W CALUMET STAPPLETON, WI, 549154934Browse WI providers · Browse ZIP 54915
- Phone
- 9209674141
- Fax
- 8339721585
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in APPLETON, WI
| Name | Credential | NPI |
|---|---|---|
| JENNIFER M MARSHALL | PAC | 1629078217 |
| ROBERT LEO DESJARDIN | PA | 1942292198 |
| JULIE A VAJDA | PAC | 1780677294 |
| MR. MICHAEL D ARIZOLA III | PAC | 1639163652 |
| THOMAS R WOODS | PA C | 1619962842 |
| JAMYE N MCGRAW | PA C | 1972598969 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.