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Individual

KEVIN K KLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1300 SOUTH DRIVE, WINNEBAGO, WI 54985-0009
(920) 235-4910
(920) 237-2043
Mailing address
1300 SOUTH DRIVE, WINNEBAGO, WI 54985-0009
(920) 235-4910
(920) 237-2043

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
151309
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
151309
WI

Other

Enumeration date
08/13/2009
Last updated
04/12/2017
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