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Individual

JENNIFER KITCHNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
612 E OAK ST, GLENWOOD CITY, WI 54013-8520
(715) 265-4555
Mailing address
E2015 STATE ROAD 72, ELMWOOD, WI 54740-9518

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4655027
WI

Other

Enumeration date
04/15/2009
Last updated
04/15/2009
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