Packard, Kathleen Lousie

Packard, Kathleen Lousie is an individual health care provider with primary practice located at 2780 Torbleau Rd , Sun Prairie WI 53590-9700. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Packard, Kathleen Lousie can be contacted via phone (608) 825-3945.

Contact Information

Primary practice address
2780 Torbleau Rd Sun Prairie WI 53590-9700
Phone: (608) 825-3945
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 7654-031 Wisconsin

Profile Details

NPI number 1689714396
LBN Legal business name Packard, Kathleen Lousie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Jul 8th, 2007 - 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 1689714396 NPPES
Wisconsin MEDICAID 42023300
Wisconsin Other 7654-031

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