Individual
KEVIN LUNA CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1339 N 11TH AVE, WEST BEND, WI 53090-1823
(262) 627-9521
Mailing address
1339 N 11TH AVE, WEST BEND, WI 53090-1823
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
235903-30
WI
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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