Individual
KJERSTI KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-5219
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59952-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100034514
—
WI
Enumeration date
03/23/2011
Last updated
10/23/2023
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