Individual
KATHY D COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
TWIN PORTS CLINIC VA, 3520 TOWER AVE., SUPERIOR, WI 54880
(715) 398-2469
(218) 728-4404
Mailing address
TWIN PORTS CLINIC VA, 3520 TOWER AVE., SUPERIOR, WI 54880
(715) 398-2469
(218) 728-4404
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R0990848
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060020200
—
MN
Enumeration date
10/04/2006
Last updated
04/10/2019
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