Provider Demographics
NPI:1437339777
Name:KILIAN, KARLA DENISE (RN, DC)
Entity Type:Individual
Prefix:DR
First Name:KARLA
Middle Name:DENISE
Last Name:KILIAN
Suffix:
Gender:F
Credentials:RN, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 PHILLIPS BLVD
Mailing Address - Street 2:
Mailing Address - City:SAUK CITY
Mailing Address - State:WI
Mailing Address - Zip Code:53583-1542
Mailing Address - Country:US
Mailing Address - Phone:608-643-2744
Mailing Address - Fax:
Practice Address - Street 1:515 PHILLIPS BLVD
Practice Address - Street 2:
Practice Address - City:SAUK CITY
Practice Address - State:WI
Practice Address - Zip Code:53583-1542
Practice Address - Country:US
Practice Address - Phone:608-643-2744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-04
Last Update Date:2007-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2551012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor