Individual
KAELEE THOSTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3138 S TOLLEFSON RD, ORFORDVILLE, WI 53576-9583
(608) 921-4149
Mailing address
3138 S TOLLEFSON RD, ORFORDVILLE, WI 53576-9583
(608) 921-4149
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
222962
WI
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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