NPI 1003408592

Megan Elizabeth Mahlkuch

Practitioner Athletic Trainer Kenosha, WI

Practice location

Address: 2001 Alford Park Dr, Kenosha, WI 53140-1927
Phone: (608) 636-6324
Mailing address: 634 Viney Rd, Belleville, WI 53508-9531

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003408592
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2021
Record last updated: 6 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.