Individual
KATHLEEN MICHELLE HEINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
950 WOODLAKE RD, KOHLER, WI 53044-1348
(920) 496-4700
Mailing address
1112 PLANKVIEW GREEN BLVD, SHEBOYGAN FALLS, WI 53085-3393
(920) 234-3065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14952-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100308888
—
WI
Enumeration date
01/23/2023
Last updated
05/15/2025
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