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Individual
KURT D MICHELKAMP
Active
Individual
KURT D MICHELKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
146810-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146810-030
RN LICENSE
WI
05
—
35033900
—
WI
Enumeration date
11/25/2009
Last updated
11/25/2009
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