Individual
KATHLEEN CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3267 S 16TH ST, OHIO BLDG ROOM 200, MILWAUKEE, WI 53215-4500
(414) 389-3111
(414) 389-3110
Mailing address
400 W RIVER WOODS PKWY, 3RD FLOOR, GLENDALE, WI 53212-1060
(414) 465-3091
(414) 465-4842
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4359-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4359-33
WI
Other
Enumeration date
11/26/2013
Last updated
10/29/2014
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