Individual
JACQUELINE KAY KUENNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-1113
Mailing address
404 2ND AVE NE, WAUKON, IA 52172-1726
(563) 568-3024
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
049023
IA
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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