Individual
MS. KRISTINA R KOYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 495-4303
Mailing address
438 N 6TH AVE, STURGEON BAY, WI 54235-2118
(920) 495-4303
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
48539
WI
Other
Enumeration date
10/13/2005
Last updated
11/09/2009
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