Individual
KASTYN ALICE HEBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W3064 HAGEDORN RD, JEFFERSON, WI 53549-9745
(920) 723-8447
Mailing address
W3064 HAGEDORN RD, JEFFERSON, WI 53549-9745
(920) 723-8447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8006-23
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2022
Last updated
07/23/2024
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