MS. Kirsten R Kallies, CCP, LP

NPI #1124622550 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1124622550
Entity Type: Individual
Name: MS. Kirsten R Kallies, CCP, LP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Perfusionist
Credential: CCP, LP
Enumeration Date: Nov 25, 2020
Last Updated: Nov 25, 2020

Practice Location

Address: 9200 W WISCONSIN AVE
City: Milwaukee
State: Wisconsin
ZIP Code: 53226-3522
Phone: (414) 259-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Perfusionist	242T00000X	Primary

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