Kessen, Connie

Kessen, Connie is an individual health care provider with primary practice located at W3275 Wolf River Road , Keshena WI 54135. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kessen, Connie can be contacted via phone (715) 799-3361.

Contact Information

Primary practice address
W3275 Wolf River Road Keshena WI 54135
Fax: (715) 799-3099
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 6428 Wisconsin

Profile Details

NPI number 1346413028
LBN Legal business name Kessen, Connie
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2008
Last updated Apr 2nd, 2008 - 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 1346413028 NPPES
Wisconsin MEDICAID 33818000

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