Lively, Kristen E

Lively, Kristen E is an individual health care provider with primary practice located at W7109 State Road 106 , Fort Atkinson WI 53538-9551. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Lively, Kristen E can be contacted via phone (920) 342-0622.

Contact Information

Primary practice address
W7109 State Road 106 Fort Atkinson WI 53538-9551
Phone: (920) 342-0622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 186577-30 Wisconsin

Profile Details

NPI number 1083970941
LBN Legal business name Lively, Kristen E
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2012
Last updated Apr 4th, 2012 - about 12 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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