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NPI Code Detail

MEDICARE: KIM KITZKE

MEDICARE: KIM KITZKE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP2201XAmbulatory Care Registered Nurse156894-30WI

General Provider Information

NPI Number : 1801726062
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM KITZKE
Provider Business Mailing Address
First Line : 5000 W NATIONAL AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53295-0001
Country : US
Telephone Number : 414-384-2000
Fax Number : 414-398-4185
Provider Business Practice Location Address
First Line : 5000 W NATIONAL AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53295-0001
Country : US
Telephone Number : 414-384-2000
Fax Number : 414-398-4185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ KIM KITZKE ” Practice Location

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