Kellen Grimm, L. Ac
Acupuncturist in Milwaukee, WI. Individual provider (NPI-1).
NPI number1982187209
StatusActive
Last updated in NPPESNov 16, 2022
Details
- NPI
- 1982187209
- Entity type
- Individual (NPI-1)
- Name
- Kellen Grimm
- Credential
- L. Ac
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2018
- Certification date
- Nov 16, 2022
- Last updated
- Nov 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 967-55 | WI | Yes |
Practice location
531 S Water St Ste 200Milwaukee, WI 53204-1668
Phone 517-242-1870
Mailing address
531 S Water St Ste 200Milwaukee, WI 53204-1668
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