Individual
SUSAN M KANACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
3818 W VALLEY VIEW DR, FRANKLIN, WI 53132-8385
(414) 750-5728
Mailing address
235 E COLLEGE AVE, UNIVERSITY PARK, PA 16802-4587
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
130940-30
WI
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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