Karen E Medek, LPN

Individual provider Active NPI Licensed Practical Nurse · West Milwaukee, WI

NPI 1184281180 · NPPES record last updated May 24, 2019

Key facts

NPI
1184281180
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
34062-31 (WI)
Practice address
1610 Miller Park Way
West Milwaukee, WI 53214-3604
Phone
(414) 939-7556
NPI assigned
May 24, 2019
Sex
Female
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
34062-31WIMDLicensed Practical Nurse
3406231WIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 3406231 WI
Licensed Practical Nurse 164W00000X 34062-31 WI Yes

Addresses

Primary practice location

1610 Miller Park Way
West Milwaukee, WI 53214-3604

Mailing address

1512 Maple St
South Milwaukee, WI 53172-1539
Phone (785) 210-6844

Other providers in West Milwaukee, WI

All providers in West Milwaukee, WI · Licensed Practical Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.