Individual
MRS. KATHIE DENISE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
S75W31046 FLORENCE CT, MUKWONAGO, WI 53149-9215
(262) 363-3043
Mailing address
S75W31046 FLORENCE CT, MUKWONAGO, WI 53149-9215
(262) 363-3043
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
108060
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39855100
—
WI
Enumeration date
01/27/2007
Last updated
07/08/2007
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