Kace Christopher Kaiser

Individual provider Active NPI Registered Nurse · Waterford, WI

NPI 1124960604 · NPPES record last updated Apr 6, 2026

Key facts

NPI
1124960604
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
10382530 (WI)
Practice address
31004 Kramer Dr
Waterford, WI 53185-3359
Phone
(414) 661-6936
NPI assigned
Apr 6, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
10382530WIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 10382530 WI Yes

Addresses

Primary practice location

31004 Kramer Dr
Waterford, WI 53185-3359

Mailing address

31004 Kramer Dr
Waterford, WI 53185-3359

Other providers in Waterford, WI

All providers in Waterford, WI · Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.