Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Kirsten R Kallies, CCP, LP

Individual provider Perfusionist · NPI 1124622550

MS. Kirsten R Kallies, CCP, LP is a Perfusionist in Milwaukee, Wisconsin. Practices as a sole proprietor and works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2020

Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 259-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 — (414) 649-3780

Specialties & licences

Perfusionist (primary) Taxonomy 242T00000X · Licence 100-018 (WI)

Record details

NPI number1124622550
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCP , LP
Sole proprietorYes
NPI enumeratedNovember 25, 2020
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020

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