Erin Toireasa Kilkenny, LPN

Individual provider Active NPI Licensed Practical Nurse · Delavan, WI

NPI 1245795186 · NPPES record last updated Feb 5, 2019

Key facts

NPI
1245795186
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
322839 (WI)
Practice address
711 Burr Oak CT
Delavan, WI 53115-1229
Phone
(262) 812-7785
NPI assigned
Feb 5, 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
322839WIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 322839 WI Yes

Addresses

Primary practice location

711 Burr Oak CT
Delavan, WI 53115-1229

Mailing address

711 Burr Oak CT
Delavan, WI 53115-1229
Phone (262) 812-7785

Other providers in Delavan, WI

All providers in Delavan, WI · Licensed Practical Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.