Individual
KAYLA M WUNDERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5752 TOKAY BLV, STE 500, MADISON, WI 53719-6000
(608) 232-1000
Mailing address
710 VILLAGE GREEN LN E, MADISON, WI 53704-3285
(608) 770-2140
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313177-31
WI
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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