Individual
KATHLEEN MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
211 NAUTILUS DR, APT. #4, MADISON, WI 53705-4358
(608) 233-5778
Mailing address
211 NAUTILUS DR, APT. #4, MADISON, WI 53705-4358
(608) 233-5778
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
54768-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39834400
—
WI
Enumeration date
03/21/2006
Last updated
07/08/2007
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