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Individual

KOURTNEY K HALLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1610 MILLER PARK WAY STE 16001610, WEST MILWAUKEE, WI 53214-3604
(414) 672-3801
(414) 672-6026
Mailing address
1610 MILLER PARK WAY STE 16001610, WEST MILWAUKEE, WI 53214-3604
(414) 672-3801
(414) 672-6026

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
232528-30
WI

Other

Enumeration date
07/16/2025
Last updated
07/16/2025
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