Individual
KATHLEEN MARIE GOSENHEIMER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5890 FULHAM CT, GREENDALE, WI 53129-2132
(414) 628-0544
Mailing address
5890 FULHAM CT, GREENDALE, WI 53129-2132
(414) 628-0544
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
79598-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38215800
—
WI
Enumeration date
03/22/2006
Last updated
07/09/2007
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