Organization
SITE 4 EYES
Active
Parent organization
KA CONSULTING
Organization subpart
Yes
Provider details
NPI number
Legal business name
KA CONSULTING
Authorized official
KRISTINA LETICIA WAGNER (PRESIDENT)
(414) 855-0469
Entity
Organization
Contact information
Practice address
7245 S 76TH ST, FRANKLIN, WI 53132-9041
(414) 855-0469
(414) 855-0492
Mailing address
7245 S 76TH ST, FRANKLIN, WI 53132-9041
(414) 855-0469
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
07/08/2020
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