Individual
KELSEY KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13900 W NATIONAL AVE, NEW BERLIN, WI 53151-9515
(262) 928-4500
(262) 928-4550
Mailing address
210 NW BARSTOW ST, SUITE 201, WAUKESHA, WI 53188-3771
(262) 548-6907
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64544-20
WI
Other
Enumeration date
03/30/2014
Last updated
04/30/2021
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