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Contact Information

JONATHAN E KIECHLE
2424 S 90TH ST
WEST ALLIS, WI53227
 Phone: 414-649-1280
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for JONATHAN E KIECHLE · (Male)

NPI Number 1083903512
Status Active
Credentials
Entity Individual
Enumeration date 04/05/2011
Last updated 07/26/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 68601
  • WI Medicaid 100079599
Hospital affiliation(s)
  • AURORA ST LUKES MEDICAL CENTER - (Acute Care)
    2900 W OKLAHOMA AVE
    MILWAUKEE, WI 53215
  • AURORA WEST ALLIS MEDICAL CENTER - (Acute Care)
    8901 W LINCOLN AVE
    WEST ALLIS, WI 53227
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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