Individual
ELLIE LORRAINE KAHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W168N11237 WESTERN AVE, GERMANTOWN, WI 53022-3239
(262) 253-5060
Mailing address
507 N 17TH ST, MILWAUKEE, WI 53255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7428-23
WI
Other
Enumeration date
02/20/2023
Last updated
01/24/2025
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