Individual
KEVIN ANDREW BODKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3120 S 27TH ST, MILWAUKEE, WI 53215-4338
(144) 672-8282
(414) 672-8284
Mailing address
335 E MAHN CT, OAK CREEK, WI 53154-2155
(414) 762-2020
(414) 762-2024
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
75438
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
08/14/2024
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