NPI 1124622550

Kirsten R Kallies, CCPLP

Practitioner Perfusionist Milwaukee, WI

Practice location

Address: 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522
Phone: (414) 259-3000
Mailing address: S84w23478 Sherman Ln, Big Bend, WI 53103-9233

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 100-018 (WI)

Other Perfusionist providers in Wisconsin →

Registry record

NPI: 1124622550
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Nov 2020
Record last updated: 25 Nov 2020

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.