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Individual

MRS. PATRICIA ANN KENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
15397 STATE HIGHWAY 32, LAKEWOOD, WI 54138-9702
(715) 276-6321
(715) 276-1428
Mailing address
15735 W US HIGHWAY 63, HAYWARD, WI 54843-6475
(715) 934-0710
(715) 598-4881

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
6190-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100043522
WI
01
3779801386
PECOS
WI
Enumeration date
01/12/2015
Last updated
10/04/2022
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