Individual
VICKI LYNN KRENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19462 STATE ROAD 78, BLANCHARDVILLE, WI 53516-9708
(608) 523-4815
Mailing address
19462 HIGHWAY 78, BLANCHARDVILLE, WI 53516-9708
(608) 523-4815
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
167018-030
WI
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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