institution
K. Kwang Soo, M.d., S.c.
Adult Mental Health Clinic/Center in Milwaukee, Wisconsin
NPI 1336296722

K. Kwang Soo, M.d., S.c. is an Adult Mental Health Clinic/Center based in Milwaukee, WI and is specialized in Adult Mental Health. K. Kwang Soo, M.d., S.c. practices in Milwaukee, WI. The NPI Number for K. Kwang Soo, M.d., S.c. is 1336296722 and holds a License No. 19331 (Wisconsin).

The current practice location address for K. Kwang Soo, M.d., S.c. is 2691 N Lake Dr, Milwaukee, WI and can be reached out via phone at 414-228-8300 and via fax at 414-228-6303.

Location: 2691 N Lake Dr, Milwaukee, WI, 53217-8046
institution
Provider Profile Details
NPI Number
1336296722
Provider Name
K. Kwang Soo, M.d., S.c.
Credential
Provider Entity Type
Organization
Address
2691 N Lake Dr, Milwaukee, WI, 53217-8046
Phone Number
414-228-8300
Fax Number
414-228-6303
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
301 529 00 05 WI
institution
Provider Business Practice Location Address Details
Address
2691 N Lake Dr
City
State
Zip
53211-3838
Phone Number
414-228-8300
Fax Number
414-228-6303
person
Provider Business Mailing Address Details
Address
2691 N Lake Dr
City
State
Zip
53211-3838
Phone Number
414-228-8300
Fax Number
414-228-6303
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
19331 (Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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