Individual
KATHRYN M KIYONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4448 W LOOMIS RD, STE 100, GREENFIELD, WI 53220-4851
(414) 281-5150
(414) 281-5767
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34530
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32016400
—
WI
Enumeration date
11/03/2006
Last updated
11/09/2023
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