Individual
KATHRYN ENDRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 S 31ST ST, MANITOWOC, WI 54220-4319
(920) 682-8266
Mailing address
905 S 31ST ST, MANITOWOC, WI 54220-4319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
83379-030
WI
Other
Enumeration date
09/29/2009
Last updated
10/06/2009
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