Individual
MRS. KATHLEEN RENEE BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
606 ROHDA DR, WATERFORD, WI 53185-4222
(262) 729-7997
Mailing address
606 ROHDA DR, WATERFORD, WI 53185-4222
(262) 729-7997
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318006
WI
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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