Individual
JODIE LYNN KROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3113 E WASHINGTON AVE, MADISON, WI 53704-4330
(608) 416-5777
Mailing address
3113 E WASHINGTON AVE, MADISON, WI 53704-4330
(608) 416-5777
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305232-31
WI
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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