NPI 1124673611

Kim Marie Kummrow, SFAC

Practitioner Surgical Assistant Milwaukee, WI

Practice location

Address: 9000 W Wisconsin Ave STE 360, Milwaukee, WI 53226-4874
Phone: (414) 337-7300
Mailing address: W340n6697 Timberline Rd, Oconomowoc, WI 53066-5151

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X

Other Specialist/Technologist, Other providers in Wisconsin →

Registry record

NPI: 1124673611
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Aug 2019
Record last updated: 11 Nov 2019

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.