NPI 1033465679

Kirsten D Pethan, PAC

Practitioner Physician Assistant Appleton, WI

Practice location

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

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5206 (WI)

Other Physician Assistant providers in Wisconsin →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 11202 (MN)

Registry record

NPI: 1033465679
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Aug 2012
Record last updated: 5 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.