Individual
DR. KAY ANN FOGELTANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2170 VELP AVE STE 105, GREEN BAY, WI 54303-6596
(920) 471-8973
(920) 465-6760
Mailing address
2170 VELP AVE STE 105, GREEN BAY, WI 54303-6596
(920) 471-8973
(920) 465-6760
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3574
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38909800
—
WI
Enumeration date
09/27/2006
Last updated
04/25/2023
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