NPI 1568195899
Kristen Anne Pethan, CPM
Practice location
- Address
- 1230 W College Ave STE C, Appleton, WI 54914-5287
- Phone
- (920) 574-3074
- Fax
- (920) 574-9502
- Mailing address
- W2774 E Jefferson Rd, Chilton, WI 53014-9670
Registered specialties
Midwife
Primary
Registry record
- NPI
- 1568195899
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Jul 2022
- Record last updated
- 5 Jul 2022
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.