Individual provider Active NPI

Lisa H Kluslow, D.V.M.

  • Veterinarian
  • Milwaukee, WI
National Provider Identifier
1265674428
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
5241-050 Issued in WI
Practice address
9513 N Swan Rd
Milwaukee, WI 53224-1207
Phone
(414) 355-0370
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 5241-050 WI Primary

Addresses

Primary practice location

9513 N Swan Rd
Milwaukee, WI 53224-1207

Mailing address

9513 N Swan Rd
Milwaukee, WI 53224-1207
Phone (414) 355-0370

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5241-050WIMDVeterinarian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1265674428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9513 N SWAN RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532241207",
            "telephone_number": "414-355-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9513 N SWAN RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532241207",
            "telephone_number": "414-355-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUSLOW",
        "first_name": "LISA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.V.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "WI",
            "license": "5241-050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.