Individual
KAYLA MARIE CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 N LEONA ST, APPLETON, WI 54911-4232
(920) 730-1028
(920) 730-9219
Mailing address
1308 N LEONA ST, APPLETON, WI 54911-4232
(920) 730-1028
(920) 730-9219
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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