MS. KIRSTEN R KALLIES CCP, LP
NPI 1124622550
Perfusionist in Milwaukee, WI

Q: What is Kirsten Kallies's NPI number?

The NPI number for Kirsten Kallies is 1124622550. It was assigned to this individual provider in the NPPES registry on November 25, 2020.

Q: What is Kirsten Kallies's specialty?

The primary specialty registered for this NPI is Perfusionist with taxonomy code 242T00000X.

Q: When was this NPI record last updated?

The NPPES record for Kirsten Kallies was last updated on November 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 25, 2020

9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 259-3000 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Kirsten R Kallies Ccp, Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIRSTEN R KALLIES CCP, LP (NPI 1124622550) is an individual perfusionist provider in Milwaukee, Wisconsin, licensed in Wisconsin (100-018) and active in the NPI registry since November 2020. She maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1124622550

Entity TypeIndividualFemale

Primary Taxonomy242T00000X

Provider Legal NameMS. KIRSTEN R KALLIESCredential: CCP, LP

Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522

Mailing AddressS84w23478 Sherman LnBig Bend, WI 53103-9233 · (262) 442-8064

Phone(414) 259-3000

Sole ProprietorYes

Enumeration DateNovember 25, 2020

NPPES CertifiedNovember 25, 2020

✔ NPI 1124622550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPerfusionistTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code242T00000X

License✔ Licensed in WI · 100-018

Definition

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.

9200 W WISCONSIN AVE, Milwaukee, WI 53226

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Secondary Practice Location 1

Location 12900 W Oklahoma AveMilwaukee, WI 53215-4330 · Phone (414) 649-3780

Other Identifiers 2

Other100-018WI · Wisconsin Department Of Regulation And Licensing

Other089006-0653American Board Of Cardiovascular Perfusion

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACY BLAIR WANDTKE HERRMANN APNP, CNM

Advanced Practice Midwife

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-4777

DR. ZACHARY SMITH DO

Internal Medicine (Gastroenterology)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 955-6830

DR. COLLEEN ANN CROWE M.D., M.P.H.

Emergency Medicine

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6469

ROBERTO MEJIAS APNP

Nurse Practitioner (Pediatrics)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6600

MRS. ANNE E B LAKATOS APN-BC, APNP, RN

Nurse Practitioner (Adult Health)

9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6850

MRS. AMANDA M MANDERS APNP

Nurse Practitioner (Adult Health)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6850

KATHLEEN A WATERHOUSE-SKIBICKI CRNA

Nurse Anesthetist, Certified Registered

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-5951

ANDREA L BEQUEST PA

Physician Assistant (Medical)

9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226

Milwaukee County (414) 955-0350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirsten Kallies's NPI number?

The NPI number for Kirsten Kallies is 1124622550. It was assigned to this individual provider in the NPPES registry on November 25, 2020.

Where is Kirsten Kallies located?

Kirsten Kallies practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 259-3000.

What is Kirsten Kallies's specialty?

The primary specialty registered for this NPI is Perfusionist with taxonomy code 242T00000X.

When was this NPI record last updated?

The NPPES record for Kirsten Kallies was last updated on November 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.