Individual
KATHLEEN M KETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
502 MAIN ST, BLACK RIVER FALLS, WI 54615-1648
(715) 284-2003
(844) 285-4399
Mailing address
502 MAIN ST, BLACK RIVER FALLS, WI 54615-1648
(715) 284-2003
(844) 285-4399
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
55872
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43812000
—
WI
Enumeration date
06/22/2005
Last updated
07/14/2020
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