Individual
JESSICA ANN KITSCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3425 POLK ST, KANSASVILLE, WI 53139-9578
(262) 408-7843
Mailing address
3425 POLK ST, KANSASVILLE, WI 53139-9578
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
234596-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558849562
—
WI
Enumeration date
08/01/2018
Last updated
05/02/2022
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