Individual
MRS. KATHLEEN ANN KEPHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10610 MAIN ST, SUITE 224, HAYWARD, WI 54843-6595
(715) 638-3296
(715) 634-5387
Mailing address
10610 MAIN ST, SUITE 224, HAYWARD, WI 54843-6595
(715) 638-3296
(715) 634-5387
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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