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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KILEY DEHAVEN, PA-C

Active

KILEY DEHAVEN, PA-C is a Medical Physician Assistant healthcare provider located in MIDDLETON, Wisconsin. NPI 1063071157 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · MIDDLETON, WI

Registration Details

NPI Number
1063071157
Provider Type
Individual
Gender
Female
NPI Issued
Jun 12, 2019 (7.1480749359558 yrs)
Last Updated
Feb 8, 2022
License
4756 (WI)

Practice Information

Address
2365 DEMING WAY
MIDDLETON, WI, 535625512
Browse WI providers · Browse ZIP 53562
Phone
6088246160
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Physician Assistant

Other Medical Physician Assistant Providers in MIDDLETON, WI

Name Credential NPI
JULIA FIXEL PA-C 1043470867
KIMBERLY K SCHUCHARDT PA 1598911232
MEGAN MARION LYGHT PA 1144758178
JASMIN BARTHEL PA 1780240804
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.