Individual
KAILEY LYNAE LEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
310C MERRITT AVE, OSHKOSH, WI 54901-5020
(920) 203-2455
Mailing address
310C MERRITT AVE, OSHKOSH, WI 54901-5020
(920) 203-2455
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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