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Contact Information

KEVIN R PARCIAK, MD
N2950 STATE ROAD 67
LAKE GENEVA, WI53147-2655
 Phone: 262-245-0535
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Toxicology

207PT0002X 93 Physician/Emergency Medicine
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for KEVIN R PARCIAK · (Male)

NPI Number 1699835181
Status Active
Credentials MD
Entity Individual
Enumeration date 12/12/2006
Last updated 05/14/2026 - About 3 weeks ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-105910
  • WI License # 48315
  • IL Medicaid 036105910 2
  • WI Medicaid 34807200
Hospital affiliation(s)
  • MERCY WALWORTH HOSPITAL & MEDICAL CENTER - (Critical Access)
    N2950 STATE ROAD 67
    LAKE GENEVA, WI 53147
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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