Individual
KRISTA KLEEKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3250 KINGSLEY WAY, MADISON, WI 53713-4628
(608) 310-9922
Mailing address
8606 GREENWAY BLVD APT 102, MIDDLETON, WI 53562-3572
(636) 221-9920
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19492-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
WI
Enumeration date
12/10/2020
Last updated
12/10/2020
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