Individual
KAYE PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 S 114TH ST, WEST ALLIS, WI 53227-1031
(414) 449-4444
Mailing address
8811 W OKLAHOMA AVE APT 316, MILWAUKEE, WI 53227-4568
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
WI
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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