Individual
MRS. KAREN MARIE HALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6634 31ST AVE, KENOSHA, WI 53142-3410
(262) 818-9622
Mailing address
6634 31ST AVE, KENOSHA, WI 53142-3410
(262) 818-9622
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
90336-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35043100
—
WI
Enumeration date
11/27/2007
Last updated
08/07/2024
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