Provider Demographics
NPI:1871717926
Name:KEEPMAN, KRISTIN POSER (NP)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:POSER
Last Name:KEEPMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:KRISTIN
Other - Middle Name:F
Other - Last Name:POSER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:302 N JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-5904
Mailing Address - Country:US
Mailing Address - Phone:920-699-4720
Mailing Address - Fax:920-699-4733
Practice Address - Street 1:3706 ORIN RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-3643
Practice Address - Country:US
Practice Address - Phone:608-241-3767
Practice Address - Fax:608-241-3854
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI61580-030363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner