Individual
KIM KANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LAT
Contact information
Practice address
820 E GRANT ST, APPLETON, WI 54911-3483
(920) 716-8139
(920) 531-2056
Mailing address
1312 SULLIVAN AVE, KAUKAUNA, WI 54130-3238
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
203-039
WI
Other
Enumeration date
04/12/2006
Last updated
07/09/2014
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