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Individual

KATHLEEN M GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNS

Contact information

Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
Mailing address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2409
WI
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
028008205
WI

Other

Enumeration date
11/21/2005
Last updated
06/03/2013
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