Individual
KAYLEE MARIE LUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8280
(920) 288-8285
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
85697
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100327744
—
WI
Enumeration date
03/26/2020
Last updated
08/06/2025
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