Individual
KATHLEEN LYNNETTE KUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1520 GREEN TREE DR, PLOVER, WI 54467-2300
(715) 295-4707
Mailing address
1520 GREEN TREE DR, PLOVER, WI 54467-2300
(715) 295-4707
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324984-31
WI
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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