Dykes, Kathryn Ann

Dykes, Kathryn Ann is an individual health care provider with primary practice located at 1686 Eisenhower Rd , De Pere WI 54115-8145. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Nursing Service Providers / Registered Nurse is her primary health care specialty. Dykes, Kathryn Ann can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
1686 Eisenhower Rd De Pere WI 54115-8145
Fax: (920) 496-4705
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 57888 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1343 Wisconsin

Profile Details

NPI number 1881619674
LBN Legal business name Dykes, Kathryn Ann
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - about 18 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 1881619674 NPPES
Wisconsin MEDICAID 39854900

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