Individual
MRS. KAITLIN BUSHEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 WISCONSIN AVE, BOSCOBEL, WI 53805-1636
(608) 485-2528
Mailing address
1107 YAHN AVE, BOSCOBEL, WI 53805-1701
(608) 485-2528
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
194676
WI
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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