Individual
MS. KARAN ELAINE DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1635 N 60TH ST, MILWAUKEE, WI 53208-2155
(414) 771-6163
Mailing address
1635 N 60TH ST, MILWAUKEE, WI 53208-2155
(414) 771-6163
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23135-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38221700
—
WI
Enumeration date
11/28/2006
Last updated
07/09/2007
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