OrganizationActive
K. Kwang Soo, M.D., S.c.
NPI 1336296722 · Adult Mental Health Clinic/Center · Milwaukee, WI
Provider details
- NPI number
- 1336296722
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kam Soo, President(414) 964-6077
- License
- 19331 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2691 N Lake Dr
Milwaukee, WI 53211-3838
Phone: (414) 228-8300
Fax: (414) 228-6303
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 170526
Milwaukee, WI 53217-8046
Registry dates
- Enumerated
- 2007-01-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.