Individual
KOBI S CARACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
900 E GRANT ST, APPLETON, WI 54911-3487
(920) 738-6340
(920) 738-6435
Mailing address
PO BOX 117, APPLETON, WI 54912-0117
(920) 739-5642
(920) 968-0259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
385
WI
Other
Enumeration date
10/07/2005
Last updated
09/11/2007
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