Individual
PENINNAH M KAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
12601 W HAMPTON AVENUE, SUITE 100A, BUTLER, WI 53007
(262) 373-1869
Mailing address
9619 BEACHWOOD AVENUE, MILWAUKEE, WI 53224
(414) 353-8788
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1806-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43930800
—
WI
Enumeration date
10/03/2006
Last updated
07/08/2007
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