Individual
JACQUELINE M KAKUSKA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
(608) 775-4467
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
(608) 775-4467
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1632
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43911600
—
WI
Enumeration date
06/22/2005
Last updated
07/08/2007
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