SearchWisconsin133V00000X

Kylie Koller

NPI 1043190903 · on the registry since 2025 · sole proprietor

Practice

Address
167 S 79th St
Milwaukee, WI 53214
Phone
(414) 477-0744

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin