Individual
KATHLEEN MARIE FLINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4536 22ND AVE, KENOSHA, WI 53140-5917
(262) 656-0044
Mailing address
4536 22ND AVE, KENOSHA, WI 53140-5917
(262) 656-0044
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2958-016
WI
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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