Individual
MS. KATHLEEN KAREN BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
904 FOX CT, FORT ATKINSON, WI 53538-1037
(920) 563-7522
Mailing address
904 FOX CT, FORT ATKINSON, WI 53538-1037
(920) 563-7522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
99858030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39856900
—
WI
Enumeration date
09/25/2006
Last updated
07/08/2007
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