| Doctor Name: | MRS. KRISTIN L KLIMISCH |
| NPI Number: | 1770620155 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | R153555 |
| Business Practice Address: | 8491 E Ridge Dr Pleasant Prairie, WI - 531582039 |
| Business Phone Number: | 2627644559 |
| Business Fax Number: | |
| Mailing Address: | 8491 E Ridge Dr, PLEASANT PRAIRIE |
| State: | WI |
| Postal Code: | 531582039 |
| Phone Number: | 2627644559 |
| Fax Number: | |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | R153555 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |