Individual
KATHLEEN FLORENCE KENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3271 NORTH ST, EAST TROY, WI 53120-1147
(262) 716-6981
Mailing address
3271 NORTH ST, EAST TROY, WI 53120-1147
(262) 716-6981
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26664-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35051700
—
WI
Enumeration date
03/07/2008
Last updated
03/07/2008
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