Individual
KARA JOY SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
19333 W NORTH AVE, BROOKFIELD, WI 53045-4132
(715) 520-2770
Mailing address
12686 44TH AVE, CHIPPEWA FALLS, WI 54729-6607
(715) 520-2770
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
171069
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171069
CSFA/ CST CERTIFICATION NUMBER
—
Enumeration date
06/10/2021
Last updated
06/10/2021
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