Kett, Kathleen M

Kett, Kathleen M is an individual health care provider with primary practice located at 502 Main St , Black River Falls WI 54615-1648. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Kett, Kathleen M can be contacted via phone (715) 284-2003.

Contact Information

Primary practice address
502 Main St Black River Falls WI 54615-1648
Phone: (715) 284-2003
Fax: (844) 285-4399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 55872 Wisconsin

Profile Details

NPI number 1689670994
LBN Legal business name Kett, Kathleen M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 14th, 2020 - about 5 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 1689670994 NPPES
Wisconsin MEDICAID 43812000

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