Individual provider · NPI-1

Gwen Kay Alderks, CPM, LM

Midwife, Lay · Kenosha, WI

NPI number1407347990
StatusActive
Last updated in NPPESJul 16, 2026

Details

NPI
1407347990
Entity type
Individual (NPI-1)
Name
Mrs. Gwen Kay Alderks
Credential
CPM, LM
Sex
Female
Sole proprietor
Yes
Enumeration date
May 21, 2018
Certification date
Jul 16, 2026
Last updated
Jul 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175M00000X Midwife, LayCPM26061028WIYes

Practice location

6303 5th Ave
Kenosha, WI 53143-5103

Phone 815-997-3493

Mailing address

6303 5th Ave
Kenosha, WI 53143-5103

Phone 815-997-3493

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