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NPI Code Detail

MEDICARE: KRISTY MARIE KUEHL

MEDICARE:   KRISTY MARIE KUEHL
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner13793WI
2363L00000XNurse Practitioner13793WI

General Provider Information

NPI Number : 1811686546
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTY MARIE KUEHL
Provider Business Mailing Address
First Line : 2301 N LAKE DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53211-4508
Country : US
Telephone Number : 414-585-1620
Fax Number :
Provider Business Practice Location Address
First Line : 2301 N LAKE DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53211-4508
Country : US
Telephone Number : 414-585-1620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2023
Last Update Date : 02/06/2026

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Directions to “ KRISTY MARIE KUEHL ” Practice Location

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