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Individual

KRISTEN MARKAY KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1522 S 59TH ST, WEST ALLIS, WI 53214-5123
(414) 793-4490
Mailing address
1522 S 59TH ST, WEST ALLIS, WI 53214-5123
(414) 793-4490

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
167626030
WI

Other

Enumeration date
01/04/2010
Last updated
01/04/2010
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