Individual
LISA MARIE KALKOFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9341 W SAINT PAUL AVE, MILWAUKEE, WI 53226-4420
(414) 467-0172
Mailing address
9341 W SAINT PAUL AVE, MILWAUKEE, WI 53226-4420
(414) 467-0172
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
168430-30
WI
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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