Individual
DR. KATIE RALENE KAVICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
2571 S HEMLOCK RD, GREEN BAY, WI 54229-9508
(920) 288-2601
Mailing address
2571 S HEMLOCK RD, GREEN BAY, WI 54229-9508
(920) 288-2601
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
6054170
WI
Other
Enumeration date
05/21/2024
Last updated
09/25/2024
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