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Kelly Laura Gottschalk, STUDENT
Student in an Organized Health Care Education/Training Program in New Berlin, Wisconsin
NPI 1043995731

Kelly Laura Gottschalk is a Student in an Organized Health Care Education/Training Program based in New Berlin, WI. Kelly Laura Gottschalk practices in New Berlin, WI and has the professional credentials of STUDENT. The NPI Number for Kelly Laura Gottschalk is 1043995731 and holds a License No. (Wisconsin).

The current practice location address for Kelly Laura Gottschalk is 4075 Belgrave Rd, New Berlin, WI and can be reached out via phone at 262-210-4436.

Location: 4075 Belgrave Rd, New Berlin, WI, 53151-6103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043995731
Provider Name
Kelly Laura Gottschalk
Credential
STUDENT
Provider Entity Type
Individual
Gender
Female
Address
4075 Belgrave Rd, New Berlin, WI, 53151-6103
Phone Number
262-210-4436
Fax Number
Provider Enumeration Date
06/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4075 Belgrave Rd
City
New Berlin
State
Wisconsin
Zip
53151-6103
Phone Number
262-210-4436
Fax Number
person
Provider Business Mailing Address Details
Address
4075 Belgrave Rd
City
New Berlin
State
Wisconsin
Zip
53151-6103
Phone Number
262-210-4436
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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