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Individual

KAY L CONRADT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
2701 N ONEIDA ST, FOX VALLEY NEPHROLOGY PARTNERS SC, APPLETON, WI 54911
(920) 730-4960
(920) 739-0953
Mailing address
2701 N ONEIDA ST, STE D FOX VALLEY NEPHROLOGY PARTNERS, APPLETON, WI 54911
(920) 730-4960
(920) 739-0953

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
235933
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21280500
WI
05
41179800
WI
Enumeration date
06/10/2006
Last updated
07/09/2007
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