Kisa Sue Sorg
NPI #1164248449 in Spring Green, Wisconsin
Provider Information
- NPI Number
- 1164248449
- Entity Type
- Individual
- Name
- Kisa Sue Sorg
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Dec 2, 2024
- Last Updated
- Jun 23, 2025
Practice Location
- Address
- S10904 FAIRVIEW RD
- City
- Spring Green
- State
- Wisconsin
- ZIP Code
- 53588-9738
- Phone
- (608) 415-1524
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
| Registered Nurse |
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