Individual
MISS ANNA KINZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12800 N LAKE SHORE DR, MEQUON, WI 53097-2418
(262) 243-2681
Mailing address
1839 1ST AVE, GRAFTON, WI 53024-2208
(715) 213-0459
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1621 - 39
WI
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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