Kalinowski, Kenneth Gordon

Kalinowski, Kenneth Gordon is an individual health care provider with primary practice located at 250 26Th St Ste 130 , Prairie Du Sac WI 53578-2205. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Kalinowski, Kenneth Gordon can be contacted via phone (414) 325-7246.

Contact Information

Primary practice address
250 26Th St Ste 130 Prairie Du Sac WI 53578-2205
Phone: (414) 325-7246
Fax: (414) 325-3770
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7939 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 125666030 Wisconsin

Profile Details

NPI number 1174580468
LBN Legal business name Kalinowski, Kenneth Gordon
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Nov 20th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174580468 NPPES
Wisconsin MEDICAID 39968700

Popular Providers