Individual
DR. KATHLEEN FRANCES HIMDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6051 W BROWN DEER RD STE 203W, BROWN DEER, WI 53223-2263
(414) 354-3000
Mailing address
10213 N FOXKIRK DR, MEQUON, WI 53097-3623
(262) 238-9099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3634
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33700600
—
WI
Enumeration date
09/13/2010
Last updated
09/13/2010
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