Individual
VICKIE KAFKA KEIGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3444
Mailing address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
601-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601-026
LICENSE NUMBER
WI
Enumeration date
04/08/2008
Last updated
02/23/2015
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