Individual
AMANDA KOHNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2042 6TH AVE, CHETEK, WI 54728-8500
(715) 642-1642
Mailing address
PO BOX 897, CHETEK, WI 54728-0897
(715) 642-1642
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
171608-30
WI
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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