Individual
DR. KIMBERLY CONN FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
440 N KOELLER ST, OSHKOSH, WI 54902-4111
(920) 230-2800
Mailing address
440 N KOELLER ST, OSHKOSH, WI 54902-4111
(920) 230-2800
(920) 651-4289
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4720-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038011833
ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION
IL
01
—
4720-12
WISCONSIN DEPARTMENT OF REGULATION AND LICENSING
WI
Enumeration date
02/11/2011
Last updated
08/05/2024
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