Individual provider · Type 1 NPI

Kelly Nicole Siverhus, PA-C, MS, RDN, CD

Physician Assistant · Milwaukee, WI

NPI number 1972269876 Active

Practice location

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522

Call (414) 805-7782 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000X3755-29 (WI)
Physician Assistant Primary 363A00000X8121-23 (WI)

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 1972269876

Kelly Nicole Siverhus, PA-C, MS, RDN, CD's National Provider Identifier is 1972269876, issued on Nov 15, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Milwaukee, WI. The record was last updated on Dec 13, 2024.