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Kylie Lange

NPI 1851106587 · on the registry since 2025

Practice

Address
12800 N Lake Shore Dr
Mequon, WI 53097
Phone
(262) 243-5700
Organisation at this address
Concordia University, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
62

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-13

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