Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kisa Sue Sorg

Individual provider Licensed Practical Nurse · NPI 1164248449

Kisa Sue Sorg is a Licensed Practical Nurse in Spring Green, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024
Specialties on file
2

Practice location Address checks out

S10904 Fairview Rd
Spring Green, WI 53588-9738
Phone: (608) 415-1524
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 1121107-30 (WI)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 332331-31 (WI)

Record details

NPI number1164248449
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 2, 2024
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

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