Individual
KATHLEEN SISLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CD
Contact information
Practice address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-2331
Mailing address
509 WESTON AVE, ROTHSCHILD, WI 54474-1102
(920) 347-9833
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
86150618
WI
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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