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Individual

KAILENE L DEVRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3008
(608) 825-3676
Mailing address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3008
(608) 825-3676

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3966-023
WI

Other

Enumeration date
02/16/2017
Last updated
03/15/2017
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