Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. NICOLE MARIE KIESOW, PA-C
ActiveMRS. NICOLE MARIE KIESOW, PA-C is a Physician Assistant healthcare provider located in FOSSTON, Minnesota. NPI 1356502769 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FOSSTON, MN
Registration Details
- NPI Number
- 1356502769
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2008 (18.121321701806 yrs)
- Last Updated
- Oct 22, 2025
Practice Information
- Address
-
111 2ND ST NEFOSSTON, MN, 565421301Browse MN providers · Browse ZIP 56542
- Phone
- 2184351111
- Fax
- 2184351112
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FOSSTON, MN
| Name | Credential | NPI |
|---|---|---|
| CORINNE A DARGUS | PAC | 1174559611 |
| MRS. DANIELE R KROUSE | PA-C, LAT, ATC | 1720474471 |
| BRYAN MIKAEL JOHNSON | PA-C | 1477106714 |
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.