Individual
KATHLEEN ANN KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOM, DIPL.AC.
Contact information
Practice address
300B E SUMMIT AVE, WALES, WI 53183-9664
(262) 968-1825
Mailing address
300B E SUMMIT AVE, WALES, WI 53183-9664
(262) 968-1825
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
449-055
WI
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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