Brandt, Kathleen Karen

Brandt, Kathleen Karen is an individual health care provider with primary practice located at 904 Fox Ct , Fort Atkinson WI 53538-1037. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Brandt, Kathleen Karen can be contacted via phone (920) 563-7522.

Contact Information

Primary practice address
904 Fox Ct Fort Atkinson WI 53538-1037
Phone: (920) 563-7522
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 99858030 Wisconsin

Profile Details

NPI number 1124129069
LBN Legal business name Brandt, Kathleen Karen
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124129069 NPPES
Wisconsin MEDICAID 39856900

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