Provider Demographics
NPI:1396030599
Name:KIESCHNIK, ANNE LOUISE (ATP, CRTS)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:LOUISE
Last Name:KIESCHNIK
Suffix:
Gender:F
Credentials:ATP, CRTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5502 FAIRVIEW FOREST DR.
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-1244
Mailing Address - Country:US
Mailing Address - Phone:713-569-2415
Mailing Address - Fax:
Practice Address - Street 1:5201 MITCHELLDALE ST
Practice Address - Street 2:SUITE B-8
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-7205
Practice Address - Country:US
Practice Address - Phone:713-392-7736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-15
Last Update Date:2012-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other