Individual
MS. KIM T DUCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
818 FORREST LN, WATERFORD, WI 53185
(262) 514-3700
(262) 514-3865
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(262) 514-3700
(262) 514-3865
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1544-033
WI
363L00000X
Nurse Practitioner
80028-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4393500
—
WI
Enumeration date
08/20/2006
Last updated
12/01/2021
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