Individual
KIM LYNN KONEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W288 GLEN RD, SAINT CLOUD, WI 53079-1533
(920) 979-4394
Mailing address
W288 GLEN RD, SAINT CLOUD, WI 53079-1533
(920) 979-4394
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
235951-30
WI
Other
Enumeration date
03/10/2018
Last updated
03/10/2018
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