Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 75866 | WI |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 75866 | WI |
NPI | 1528453347 |
---|---|
Provider Name | Kristin L Kress |
First Address | Milwaukee, WI 53215-2843 |
Second Address | Oshkosh, WI 54904-7668 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2015 |
Last Update Date | 21/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100179299 | (05) | WI |