Healthcare Provider Details

I. General information

NPI: 1760399828
Provider Name (Legal Business Name): PAUL KAAP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4040 W FOREST HOME AVE
MILWAUKEE WI
53215-3538
US

IV. Provider business mailing address

2551 S 89TH ST
WEST ALLIS WI
53227-2413
US

V. Phone/Fax

Practice location:
  • Phone: 414-902-8600
  • Fax:
Mailing address:
  • Phone: 608-217-8620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: