Individual
MS. KRISTINA MARIE KURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6784 BOOTMAKER WAY, WINDSOR, WI 53598-9630
(608) 778-1653
Mailing address
6784 BOOTMAKER WAY, WINDSOR, WI 53598-9630
(608) 778-1653
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
WISREN004911277
WI
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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