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Individual

MS. KATHLYN AUDREY KLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6484
Mailing address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6484

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2314
WI
363AM0700X
Medical Physician Assistant
2314-023
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043460728
WI
Enumeration date
09/30/2008
Last updated
11/10/2021
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