Individual
STEPHANIE MARIE KIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
608 W SOUTH ST, STOUGHTON, WI 53589
(608) 333-2387
Mailing address
608 W SOUTH ST, STOUGHTON, WI 53589-2484
(608) 333-2387
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310835-031
WI
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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