Individual
KATRONA L BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN/MDS COORDINATOR
Contact information
Practice address
2430 N GRANT BLVD, MILWAUKEE, WI 53210-2940
(414) 708-7570
Mailing address
2430 N GRANT BLVD, MILWAUKEE, WI 53210-2940
(414) 708-7570
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321584-31
WI
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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