Individual
MS. KATHY S KUYKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 W MAIN STREET, STE 300B, SUN PRAIRIE, WI 53590
(608) 825-6711
(608) 834-6499
Mailing address
1500 W MAIN STREET, STE 300B, SUN PRAIRIE, WI 53590
(608) 825-6711
(608) 834-6499
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3139123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39266300
—
WI
Enumeration date
10/25/2006
Last updated
07/08/2007
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