Individual
KATHRYN A BUYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
915 SUMMIT AVE, OCONOMOWOC, WI 53066-3921
(262) 569-2300
Mailing address
N71W23482 HOMESTEAD RD, SUSSEX, WI 53089-3279
(262) 246-0456
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
23-029
WI
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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