Provider Demographics
NPI:1942263686
Name:KUHAUPT, DENISE M
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:M
Last Name:KUHAUPT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W181N8925 MELANIE LN
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-1990
Mailing Address - Country:US
Mailing Address - Phone:262-250-9727
Mailing Address - Fax:
Practice Address - Street 1:12601 W HAMPTON AVE STE 100A
Practice Address - Street 2:AURORA QUICKCARE
Practice Address - City:BUTLER
Practice Address - State:WI
Practice Address - Zip Code:53007-1705
Practice Address - Country:US
Practice Address - Phone:262-373-1869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI112764363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIS64941Medicare UPIN