Individual
MRS. KATHLEEN ROSE PITTS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
9360 N 85TH ST, MILWAUKEE, WI 53224-1311
(414) 355-2997
Mailing address
9360 N 85TH ST, MILWAUKEE, WI 53224-1311
(414) 355-2997
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
84365 - 030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39876000
—
WI
Enumeration date
04/13/2006
Last updated
07/09/2007
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