Individual
LINDA MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8207 22ND AVE, KENOSHA, WI 53143-6206
(262) 653-9286
Mailing address
8207 22ND AVE, KENOSHA, WI 53143-6206
(262) 653-9286
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
146833-30
WI
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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