Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRACE LORRAINE KALK, PA
ActiveGRACE LORRAINE KALK, PA is a Physician Assistant healthcare provider located in PULASKI, Wisconsin. NPI 1063433316 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PULASKI, WI
Registration Details
- NPI Number
- 1063433316
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 22, 2006 (20.046720620691 yrs)
- Last Updated
- Dec 20, 2018
- License
-
1034 (WI)
Practice Information
- Address
-
940 S SAINT AUGUSTINE STPULASKI, WI, 541629453Browse WI providers · Browse ZIP 54162
- Phone
- 9204964700
- Fax
- 9204964705
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PULASKI, WI
| Name | Credential | NPI |
|---|---|---|
| AMANDA J JACOBS | PA-C | 1740599646 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.