Kyle D. Kiesewetter is a gerontology clinical nurse specialist in Peoria, IL. Kyle D. Kiesewetter NPI is 1598399693. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
221 NE GLEN OAK AVE
PEORIA, IL
ZIP 61636-001
Phone: (309) 672-4859
The NPI 1598399693 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/27/2020 and was last updated on 2/27/2020.