Individual
KATHY ANN GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
370 3RD AVENUE, CLEAR LAKE, WI 54005-9658
(715) 554-4224
Mailing address
PO BOX 133, CLEAR LAKE, WI 54005-0133
(715) 554-4224
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13578-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13578-33
RN LICENSE #
WI
01
—
249808-30
APRN LICENSE #
WI
Enumeration date
02/27/2023
Last updated
07/03/2025
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