Individual
MRS. KIMBERLY BURNS KLUG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1317 W GRAND AVE, LAKE HILLS MEDICAL COMPLEX, PORT WASHINGTON, WI 53074
(262) 284-2261
Mailing address
N52W16745 OAK RIDGE TRL, MENOMONEE FALLS, WI 53051-0640
(262) 783-1523
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5363-24
WI
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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