Individual
MR. DENNIS LEE KOCHANIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
11431 N PORT WASHINGTON RD STE 101B, MEQUON, WI 53092-3463
(267) 699-8834
Mailing address
11431 N PORT WASHINGTON RD STE 101B, MEQUON, WI 53092-3463
(267) 699-8834
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
245684-30
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11305-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5380327022
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95019168
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN-3414-0
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100190462
—
WI
Enumeration date
08/07/2021
Last updated
02/05/2024
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