Individual
KATHLEEN L NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4408 N 39TH ST, MILWAUKEE, WI 53209-5802
(414) 837-3721
Mailing address
4408 N 39TH ST, MILWAUKEE, WI 53209-5802
(414) 241-7795
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
334991
WI
Other
Enumeration date
04/23/2021
Last updated
12/28/2025
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