Individual
MRS. KATHLEEN ANN THOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
702 N. FRONT STREET, SPOONER, WI 54871
(715) 635-3539
(715) 635-3086
Mailing address
16757 W. COUNTY ROAD DD, BIRCHWOOD, WI 54817-9151
(715) 296-0114
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
117115-30
WI
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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