Kietzke, Jill Kristen

Kietzke, Jill Kristen is an individual health care provider with primary practice located at 640 S 1St St , Mount Horeb WI 53572-3311. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Other Service Providers / Health Educator. Other Service Providers / Health Educator is her primary health care specialty. Kietzke, Jill Kristen can be contacted via phone (608) 512-8115.

Contact Information

Primary practice address
640 S 1St St Mount Horeb WI 53572-3311
Phone: (608) 512-8115
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 119707-30 Wisconsin
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1730829508
LBN Legal business name Kietzke, Jill Kristen
Credentials MSN, BC-ADM
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2022
Last updated Mar 30th, 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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