MR. ABRAHAM JOSEPH KIESEL PA-C NPI 1699504415

NPI Information

  • NPI: 1699504415
  • Provider Name: MR. ABRAHAM JOSEPH KIESEL, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 520 MARY ST STE 520
    EVANSVILLE, IN
    ZIP 47710
  • Phone: (812) 424-8231

Map and Directions

Get Directions

NPI Details

MR. Abraham Joseph Kiesel, PA-C is a medical physician assistant in Evansville, IN with 2 years of experience. MR. Abraham Joseph Kiesel, PA-C NPI is 1699504415. 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:

520 MARY ST STE 520
EVANSVILLE, IN
ZIP 47710-682
Phone: (812) 424-8231
Fax: (812) 435-8794

The NPI 1699504415 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 7/30/2024 and was last updated on 10/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical10004516AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11222091OTHERINDIANABOARD CERTIFICATION
210004516AOTHERINDIANAINDIANA LICENSE
3300096298MEDICAIDINDIANA
47101011410MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI