Walton, Kathleen Mary
Walton, Kathleen Mary is an sole proprietor health care provider with primary practice located at 5353 N River Rd , Janesville WI 53545-8325. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Walton, Kathleen Mary can be contacted via phone (608) 754-8423.Contact Information
Primary practice address
5353 N River Rd
Janesville WI 53545-8325
Phone: (608) 754-8423
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 30279-031 | Wisconsin |
Profile Details
| NPI number | 1841473840 |
|---|---|
| LBN Legal business name | Walton, Kathleen Mary |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2007 |
| Last updated | Dec 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841473840 | NPPES |
| Wisconsin | MEDICAID | 38318800 |
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