IndividualActive
Kirsten Kallies, CCP, LP
NPI 1124622550 · Perfusionist · Milwaukee, WI
Provider details
- NPI number
- 1124622550
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP, LP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 100-018 (WI)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 259-3000
Approximate (ZIP-level) locationGet directions
Mailing address
S84w23478 Sherman Ln
Big Bend, WI 53103-9233
Additional practice locations (1)
- 2900 W Oklahoma AveMilwaukee, WI 53215-4330Phone: (414) 649-3780
Registry dates
- Enumerated
- 2020-11-25
- Last updated
- 2020-11-25
- Certified
- 2020-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.