Individual
MRS. ELIZABETH M KESICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
10701 W RESEARCH DR, MILWAUKEE, WI 53226-3452
(414) 397-3788
(414) 443-4858
Mailing address
8224 MARJORIE DR, WATERFORD, WI 53185-5618
(414) 397-3788
(414) 433-4369
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2734
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41277000
—
WI
Enumeration date
07/16/2006
Last updated
07/08/2007
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