Individual
KRISTIN LINDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 16TH AVE, KENOSHA, WI 53140-2445
(262) 358-6312
Mailing address
4000 16TH AVE, KENOSHA, WI 53140-2445
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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