Individual
DR. KEVIN NIKSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., DPT
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-2600
Mailing address
1504 STACY LN, FORT ATKINSON, WI 53538-2820
(414) 881-0116
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17520
WI
225100000X
Physical Therapist
Primary
17181
WI
Other
Enumeration date
03/25/2020
Last updated
07/13/2025
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