Individual
DR. KALPANA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6123 GREEN BAY RD, KENOSHA, WI 53142-2927
(262) 948-1000
(262) 942-9374
Mailing address
PO BOX 7814, GURNEE, IL 60031-7005
(262) 948-1000
(262) 942-9374
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1918-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05632021
BLUE CROSS BLUE SHIELD
WI
01
—
364493357010
BLUE CROSS BLUE SHIELD
WI
05
—
39655400
—
WI
01
—
6110476
UNITED HEALTHCARE
WI
Enumeration date
07/21/2006
Last updated
03/23/2009
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