Individual provider · Type 1 NPI

Grace Kathryn Kikkebusch, DO

Student in an Organized Health Care Education/Training Program · Milwaukee, WI

NPI number 1124715420 Active

Practice location

900 N 92nd St
Milwaukee, WI 53226-1202

Call (414) 955-4985 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124715420

Grace Kathryn Kikkebusch, DO's National Provider Identifier is 1124715420, issued on Apr 18, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Milwaukee, WI. The record was last updated on Apr 18, 2023.