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General NPI Number Information
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NPI Number | 1801527395
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Entity Type | Individual
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Provider Name | KAY HART
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Gender | Female
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 7620 W CENTER ST
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City | MILWAUKEE
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State | WI
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Zip | 53222-5083
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Country | US
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Telephone | 414-808-2828
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Fax |
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Provider Business Mailing Address
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Address Line | 758 BLUE MOON LN
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City | WESTMINSTER
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State | MD
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Zip | 21157-6878
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Country | US
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Telephone | 414-795-5305
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | 71642-82
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License Number State | WI
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