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Individual

MRS. SAMANTHA K. KEWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
1002 W. CLAIREMONT AVE, EAU CLAIRE, WI 54701
(534) 200-6165
(534) 200-6166
Mailing address
1002 W. CLAIREMONT AVE., EAU CLAIRE, WI 54701
(715) 222-1833

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
229157
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
15022-33
WI

Other

Enumeration date
10/23/2023
Last updated
01/23/2025
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