Organization
DIRECT MEDICAL ACCESS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN ANN KLIPP (OWNER ADMINISTRATOR)
(262) 903-4455
Entity
Organization
Contact information
Practice address
638 W MAIN ST, SUITE A, LAKE GENEVA, WI 53147-1908
(262) 215-9085
(262) 248-3801
Mailing address
638 W MAIN ST, SUITE A, LAKE GENEVA, WI 53147-1908
(262) 215-9085
(262) 248-3801
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
100032541
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100032541
—
WI
Enumeration date
07/25/2014
Last updated
07/25/2014
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