Individual
KRISTEN L MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1290 N SUMMIT AVE, SUITE 102, OCONOMOWOC, WI 53066-4459
(262) 468-3480
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-017609
IL
225100000X
Physical Therapist
Primary
6269-24
WI
225100000X
Physical Therapist
6712
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050917500
—
MN
01
—
193K4MA
BLUECROSS BLUESHIELD
MN
05
—
40361200
—
WI
01
—
6401328
MEDICA
MN
01
—
HP31549
HEALTHPARTNERS
MN
Enumeration date
07/12/2006
Last updated
07/22/2014
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