Healthcare Provider Details

I. General information

NPI: 1861309767
Provider Name (Legal Business Name): GRETCHEN KUHNEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3239 S PENNSYLVANIA AVE
MILWAUKEE WI
53207-3131
US

IV. Provider business mailing address

2935 S MABBETT AVE
MILWAUKEE WI
53207-2524
US

V. Phone/Fax

Practice location:
  • Phone: 414-294-1388
  • Fax:
Mailing address:
  • Phone: 414-736-5871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number175832-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: