Individual
KAYLASH KESHVALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 N PROSPECT AVE, MILWAUKEE, WI 53202-3018
(414) 277-8854
Mailing address
3020 W WANDA AVE, MILWAUKEE, WI 53221-4154
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1657-27
WI
Other
Enumeration date
08/15/2015
Last updated
08/15/2015
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