Individual
MEGAN IRENE KREMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7736-023
WI
363AM0700X
Medical Physician Assistant
085.008889
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085.008889
—
IL
05
—
100261399
—
WI
Enumeration date
06/13/2022
Last updated
05/08/2025
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