Keppel, Kristina L

Keppel, Kristina L is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Otolaryngology, Milwaukee WI 53226-4874. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Keppel, Kristina L can be contacted via phone (414) 266-4718.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Otolaryngology Milwaukee WI 53226-4874
Phone: (414) 266-4718
Fax: (414) 266-2693
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 145714 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 145714 Wisconsin

Profile Details

NPI number 1871545467
LBN Legal business name Keppel, Kristina L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Nov 20th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871545467 NPPES
Wisconsin MEDICAID 1871545467

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