Individual
DR. KISHWAR NAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
(812) 450-2710
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01074444A
IN
207L00000X
Anesthesiology Physician
Primary
70033-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100082914
—
WI
Enumeration date
05/21/2009
Last updated
12/11/2024
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