SearchWisconsin152W00000X

Kyle Klika, O.D

NPI 1205090990 · on the registry since 2008

Practice

Address
700 Pilgrim Way
Green Bay, WI 54304
Phone
(920) 733-3846
Fax
(920) 733-3964
Organisation at this address
Shoptikal Llc
Shopko Stores, Inc.
Shopko Properties, Llc
Shopko Stores Operating Co Llc
Shopko Stores Operating Co. Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-07-11

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