Individual
KATHLEEN ANNE KNIPFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A. C.
Contact information
Practice address
251 E COTTAGE GROVE RD, COTTAGE GROVE, WI 53527-9619
(608) 839-3515
(608) 839-3541
Mailing address
251 E COTTAGE GROVE RD, COTTAGE GROVE, WI 53527-9619
(608) 839-3515
(608) 839-3541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2313-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154586717
—
WI
Enumeration date
07/23/2008
Last updated
11/02/2020
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