Individual
JENNIFER KAWLESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 563-4213
Mailing address
889 LUCAS LN, JEFFERSON, WI 53549-1182
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
220446-30
WI
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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