Individual
BROCK KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 HORICON ST UNIT 1, HORICON, WI 53032-2100
(920) 210-4527
Mailing address
705 HORICON ST UNIT 1, HORICON, WI 53032-2100
(920) 210-4527
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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