KISA SUE SORG

SPRING GREEN, WI
NPI1164248449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: WI  1121107-30)
Additional Taxonomies164W00000X Licensed Practical Nurse
(Licence: WI  332331-31)
Enumeration Date2024-12-02
Last Update Date2025-06-23
Business Address
KISA SUE SORG
S10904 FAIRVIEW RD
SPRING GREEN, WI 53588-9738
Phone number: 608-415-1524
Mailing Address
KISA SUE SORG
S10904 FAIRVIEW RD
SPRING GREEN, WI 53588-9738
Phone number: 608-415-1524