Mr Kenneth Gordon Kalinowski, APNP | |
250 26th St Ste 130, Prairie Du Sac, WI 53578-2205 | |
(414) 325-7246 | |
(414) 325-3770 |
Full Name | Mr Kenneth Gordon Kalinowski |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 250 26th St Ste 130, Prairie Du Sac, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174580468 | NPI | - | NPPES |
39968700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 7939 (Wisconsin) | Primary |
163W00000X | Registered Nurse | 125666030 (Wisconsin) | Secondary |
Entity Name | Advanced Pain Management Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770506669 PECOS PAC ID: 1456257633 Enrollment ID: O20031209000560 |
Mailing Address | Practice Location Address |
---|---|
Mr Kenneth Gordon Kalinowski, APNP 4131 W Loomis Rd Ste 300, Greenfield, WI 53221-2059 Ph: (414) 325-7246 | Mr Kenneth Gordon Kalinowski, APNP 250 26th St Ste 130, Prairie Du Sac, WI 53578-2205 Ph: (414) 325-7246 |
Mrs. Kimberly L Olson, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 260 26th St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 | |
Joellen E Frawley, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 26th St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 Fax: 608-643-8600 | |
Angela M Sorg, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 26th St, Prairie Du Sac, WI 53578 Phone: 608-643-2431 | |
James L Armstrong, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 26th St, Prairie Du Sac, WI 53578 Phone: 608-643-2471 Fax: 608-643-4788 | |
Laura Elizabeth Bixby, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 26th St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 | |
Kari Fisher, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 26th St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 |