Individual provider · Type 1 NPI

Kirsten D. Pethan, PA-C

Physician Assistant · Appleton, WI

NPI number 1033465679 Active

Practice location

145 W Calumet St
Appleton, WI 54915-4934

Fax (833) 972-1585

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5206 (WI)
Physician Assistant 363A00000X11202 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1033465679

Kirsten D. Pethan, PA-C's National Provider Identifier is 1033465679, issued on Aug 1, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Appleton, WI. The record was last updated on Nov 5, 2025.