Individual
KATHLEEN A BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 AMERICAN AVE, SUITE 501, WAUKESHA, WI 53188-5071
(262) 928-7887
(272) 655-1213
Mailing address
721 AMERICAN AVE, SUITE 501, WAUKESHA, WI 53188-5071
(262) 928-7887
(272) 655-1213
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
78336-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39404600
—
WI
Enumeration date
04/11/2008
Last updated
04/11/2008
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