Individual
KAYLEE KIILANI FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
318 UNION PL, MANITOWOC, WI 54220-3753
(715) 467-1582
Mailing address
318 UNION PL, MANITOWOC, WI 54220-3753
(715) 467-1582
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
1106285
WI
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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