Individual
PATRICIA JEAN BLANKENMEYER KOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N65W13822 LILLY CREEK DR, MENOMONEE FALLS, WI 53051-6053
(262) 252-4154
Mailing address
N65W13822 LILLY CREEK DR, MENOMONEE FALLS, WI 53051-6053
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
90912
WI
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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