Individual
MS. KATHLEEN SLIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1831 BLACKFOOT AVE, GRAFTON, WI 53024-9303
(262) 377-6625
Mailing address
1831 BLACKFOOT AVE, GRAFTON, WI 53024-9303
(262) 377-6625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
50322-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38224300
—
WI
Enumeration date
06/29/2006
Last updated
07/09/2007
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