# MS. KATHLEEN ANN BUNDY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1083860381
- **Gender:** F
- **Credential:** R.N.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 157720-030 | WI | Yes |
| 163WG0000X | General Practice Registered Nurse | 4704225373 | MI | — |

## Other

- **Enumeration date:** 08/18/2008
- **Last updated:** 08/18/2008