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Individual

MS. KRISTINA L KEPPEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9000 W WISCONSIN AVE, PEDIATRIC OTOLARYNGOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-4718
(414) 266-2693
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC OTOLARYNGOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-4718
(414) 266-2693

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
145714
WI
363LP0200X
Pediatric Nurse Practitioner
Primary
145714
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871545467
WI
Enumeration date
05/16/2006
Last updated
11/20/2013
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