MS. KIRSTEN R KALLIES CCP LP NPI 1124622550

NPI Information

NPI: 1124622550
Provider Name: MS. KIRSTEN R KALLIES, CCP, LP
Classification: Perfusionist - 242T00000X
Entity Type: Individual
Address: 9200 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226
Phone: (414) 259-3000

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NPI Details

MS. Kirsten R Kallies, CCP, LP is a perfusionist in Milwaukee, WI. The provider is a perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. MS. Kirsten R Kallies, CCP, LP NPI is 1124622550. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9200 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226-522
Phone: (414) 259-3000

The enumeration date for this NPI number is 11/25/2020 and was last updated on 11/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	242T00000X	Perfusionist		100-018	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100-018	OTHER	WISCONSIN	WISCONSIN DEPARTMENT OF REGULATION AND LICENSING
2	089006-0653	OTHER		AMERICAN BOARD OF CARDIOVASCULAR PERFUSION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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