Kizzie Willingham LPN

NPI 1720306699 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1720306699
Gender Female
Enumeration Date 05/17/2010
Last Updated 05/17/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
3173 N 20TH ST
MILWAUKEE WI, 53206-1721, US
Phone (414) 349-9976
Fax
Business Location
3173 N 20TH ST
MILWAUKEE WI, 53206-1721, US
Phone (414) 349-9976
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Wisconsin
License Number 312393-31
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According to our database, Kizzie Willingham LPN NPI is 1720306699, taxonomy code is 164W00000X and license number is 312393-31, license state is located at Wisconsin. Kizzie Willingham LPN physically located at 3173 N 20th St, Milwaukee WI, 53206-1721. NPI Number Kizzie Willingham LPN has the Individual type.

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1720306699 NPI number is provided on an as is basis without warranty of any kind. 1720306699 is maintained by the National Plan & Provider Enumeration System. The contents of Kizzie Willingham LPN are for informational purposes only.