Individual
MEGAN ELIZABETH MAHLKUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 ALFORD PARK DR, KENOSHA, WI 53140-1927
(608) 636-6324
Mailing address
634 VINEY RD, BELLEVILLE, WI 53508-9531
(608) 636-6324
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/06/2021
Last updated
02/06/2021
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