Flores, Kathy Ann

Flores, Kathy Ann is an individual health care provider with primary practice located at 200 S Executive Dr Suite 101, Brookfield WI 53005-4216. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Flores, Kathy Ann can be contacted via phone (888) 964-6681.

Contact Information

Primary practice address
200 S Executive Dr Suite 101 Brookfield WI 53005-4216
Phone: (888) 964-6681
Fax: (888) 662-0859
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 3906-016 Wisconsin

Profile Details

NPI number 1245338334
LBN Legal business name Flores, Kathy Ann
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 30th, 2012 - about 13 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 1245338334 NPPES
Wisconsin MEDICAID 33824800

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