Individual
MRS. JENNIFER LYNN KITELINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
311 REAUME AVE, KAUKAUNA, WI 54130-2430
(920) 205-5727
(920) 759-1937
Mailing address
311 REAUME AVE, KAUKAUNA, WI 54130-2430
(920) 205-5727
(920) 759-1937
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4780-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40901500
—
WI
01
—
4780-026
STATE LICENSES
WI
Enumeration date
01/29/2007
Last updated
01/12/2010
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