Individual
MELISA J KIRCHSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NC-BC
Contact information
Practice address
W11099 PIGTAIL ALLEY RD, PORTAGE, WI 53901-9628
(608) 963-4892
Mailing address
W11099 PIGTAIL ALLEY RD, PORTAGE, WI 53901-9628
(608) 963-4892
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
18510830
WI
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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