Individual
KENI LYNN CHRISTIANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W969 YARWOOD RD # 1, BROOKLYN, WI 53521-9743
(276) 224-5313
Mailing address
W969 YARWOOD RD # 1, BROOKLYN, WI 53521-9743
(276) 224-5313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
72773
WI
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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