Healthcare Provider Details

I. General information

NPI: 1841624178
Provider Name (Legal Business Name): KPI,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2013
Last Update Date: 09/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 E WISCONSIN AVE
OCONOMOWOC WI
53066-3033
US

IV. Provider business mailing address

139 E WISCONSIN AVE
OCONOMOWOC WI
53066-3033
US

V. Phone/Fax

Practice location:
  • Phone: 414-333-3984
  • Fax: 262-560-0044
Mailing address:
  • Phone: 414-333-3984
  • Fax: 262-560-0044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateWI

VIII. Authorized Official

Name: MRS. KATHLEEN ANN PAPA
Title or Position: PRESIDENT
Credential: RN
Phone: 414-333-3984