Individual
KYLE THEODORE SHUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2901 W KK RIVER PKWY STE 315, MILWAUKEE, WI 53215-3660
(414) 649-3370
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11284-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100195749
—
WI
05
—
1902553324
—
WI
Enumeration date
03/05/2022
Last updated
11/14/2025
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