Individual
MRS. KATHRYN LYNNE PISKULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5017 BUENA PARK RD, WATERFORD, WI 53185-3341
(262) 514-3489
Mailing address
5017 BUENA PARK RD, WATERFORD, WI 53185-3341
(262) 514-3489
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
107921-30
WI
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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