Individual
KATHLEEN VAN ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
332 S KARLYN ST, KIMBERLY, WI 54136-1733
(920) 716-0027
Mailing address
332 S KARLYN ST, KIMBERLY, WI 54136-1733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
120875-30
WI
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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