Individual
DR. KYLE OWEN MOUNTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3070 NORTH 51ST ST., SUITE P309, MILWAUKEE, WI 53210-1661
(414) 447-2663
(414) 447-1070
Mailing address
3070 NORTH 51ST ST., SUITE P309, MILWAUKEE, WI 53210-1661
(414) 447-2663
(414) 447-1070
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35239
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32013400
—
WI
Enumeration date
10/03/2006
Last updated
07/08/2007
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