Individual
MISS KATHLEEN ELIZABETH WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W340N6204 BREEZY POINT RD, OCONOMOWOC, WI 53066-5111
(262) 853-1915
Mailing address
W340N6204 BREEZY POINT RD, OCONOMOWOC, WI 53066-5111
(262) 853-1915
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
552-55
WI
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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