Individual
MRS. KATHRYN JEAN MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
W5675 CTY HWY B, SHAWANO, WI 54166-0060
(715) 526-6158
Mailing address
215 PROSPECT CIR, SHAWANO, WI 54166-3625
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4324-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38977200
—
WI
Enumeration date
06/27/2007
Last updated
08/17/2011
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