Individual
KAYE KOEHOORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
429 CARRINGTON ST, WAUPUN, WI 53963-2115
(920) 210-9765
Mailing address
429 CARRINGTON ST, WAUPUN, WI 53963-2115
(920) 210-9765
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
38344900
WI
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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