Tia M Kirksey

NPI 1083984819 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1083984819
Gender Female
Enumeration Date 01/10/2012
Last Updated 01/10/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
4073 N 51ST BLVD
MILWAUKEE WI, 53216-1374, US
Phone (414) 610-3439
Fax
Business Location
4073 N 51ST BLVD
MILWAUKEE WI, 53216-1374, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Wisconsin
License Number 312085-031
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According to our database, Miss Tia M Kirksey NPI is 1083984819, taxonomy code is 164W00000X and license number is 312085-031, license state is located at Wisconsin. Tia M Kirksey physically located at 4073 N 51st Blvd, Milwaukee WI, 53216-1374. NPI Number Tia M Kirksey has the Individual type.

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1083984819 NPI number is provided on an as is basis without warranty of any kind. 1083984819 is maintained by the National Plan & Provider Enumeration System. The contents of Tia M Kirksey are for informational purposes only.