Clevenstine, Kristin

Clevenstine, Kristin is an individual health care provider with primary practice located at 2195 N Summit Village Way , Oconomowoc WI 53066-8675. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Clevenstine, Kristin can be contacted via phone (262) 560-2400.

Contact Information

Primary practice address
2195 N Summit Village Way Oconomowoc WI 53066-8675
Phone: (262) 560-2400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1255572459
LBN Legal business name Clevenstine, Kristin
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2009
Last updated Oct 24th, 2011 - about 15 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 1255572459 NPPES
Wisconsin MEDICAID 40871100

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