Individual
KATHRYN A OMELINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5209
Mailing address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5209
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2996-033
WI
363LN0000X
Neonatal Nurse Practitioner
2996
WI
Other
Enumeration date
02/15/2011
Last updated
12/28/2025
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