Kroll, Karen M

Kroll, Karen M is an individual health care provider with primary practice located at 1630 Commanche Ave Ste 102 , Green Bay WI 54313-5753. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kroll, Karen M can be contacted via phone (920) 433-6000.

Contact Information

Primary practice address
1630 Commanche Ave Ste 102 Green Bay WI 54313-5753
Fax: (920) 430-4719
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6536 Wisconsin

Profile Details

NPI number 1306221619
LBN Legal business name Kroll, Karen M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2015
Last updated Jul 14th, 2023 - about 3 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 1306221619 NPPES
Other 2015003628 AMERICAN NURSES CREDENTIALING CENTER

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