Individual
MS. DIANE M KERKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
W63 N14264 WASHINGTON AVE #13, CEDARBURG, WI 53012
(262) 377-3516
Mailing address
W63 N14264 WASHINGTON AVE #13, CEDARBURG, WI 53012
(262) 377-3516
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
33888031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35060300
—
WI
Enumeration date
06/11/2008
Last updated
06/12/2008
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