Pethan, Kristen Anne

Pethan, Kristen Anne is an sole proprietor health care provider with primary practice located at 1230 W College Ave Ste C , Appleton WI 54914-5287. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Pethan, Kristen Anne can be contacted via phone (920) 574-3074.

Contact Information

Primary practice address
1230 W College Ave Ste C Appleton WI 54914-5287
Phone: (920) 574-3074
Fax: (920) 574-9502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X

Profile Details

NPI number 1568195899
LBN Legal business name Pethan, Kristen Anne
Credentials CPM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2022
Last updated Jul 5th, 2022 - 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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