NPI
Kristin D Bencik Boudreau
NPI 1588660195
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- D.O.
- Type
- Individual
- Enumeration date
- 2005-06-28
- Last updated
- 2020-09-16
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Specialties
Licenses
- License WI
- 43405
Location
- Practice location
- 7950 N Port Washington Rd
- City
- Fox Point WI
- Postal code
- 53217-3131
- Phone
- (414) 228-0099
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Fox Point, WI. 107 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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