Individual
DR. KATHY JEAN KROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
18 W MAIN ST, SUITE A, CHILTON, WI 53014-1300
(920) 849-9518
Mailing address
18 W MAIN ST, SUITE A, CHILTON, WI 53014-1300
(920) 849-9518
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3845
LA
1223G0001X
General Practice Dentistry
Primary
4165
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33696300
—
WI
Enumeration date
04/23/2007
Last updated
07/08/2007
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