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Individual

JENNIFER L KOHNKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
402 W LAKE ST, FRIENDSHIP, WI 53934-9699
(608) 339-3331
Mailing address
402 W LAKE ST, FRIENDSHIP, WI 53934-9699
(608) 339-3331

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
149536
WI
363L00000X
Nurse Practitioner
7739
WI
363LF0000X
Family Nurse Practitioner
Primary
7739
WI

Other

Enumeration date
05/23/2017
Last updated
03/07/2022
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