Phu, Kyla

Phu, Kyla is an individual health care provider with primary practice located at 14555 W National Ave , New Berlin WI 53151-4494. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Phu, Kyla can be contacted via phone (844) 284-0381.

Contact Information

Primary practice address
14555 W National Ave New Berlin WI 53151-4494
Phone: (844) 284-0381
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209013749 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 100848 Wisconsin

Profile Details

NPI number 1083076798
LBN Legal business name Phu, Kyla
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2016
Last updated Oct 17th, 2023 - about last year

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 1083076798 NPPES
Wisconsin MEDICAID 100251414

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