Individual
KATHLEEN A KUJAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8710
(414) 805-1101
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8710
(414) 805-1101
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036097276
IL
2084N0400X
Neurology Physician
Primary
76807
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097276
—
IL
01
—
1634415
BLUE CROSS BLUE SHIELD
IL
05
—
1770510422
—
WI
Enumeration date
06/27/2006
Last updated
04/05/2022
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