King, Kathy Jo

King, Kathy Jo is an individual health care provider with primary practice located at 2805 Circle Dr , Burlington WI 53105-9148. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. King, Kathy Jo can be contacted via phone (262) 763-5025.

Contact Information

Primary practice address
2805 Circle Dr Burlington WI 53105-9148
Phone: (262) 763-5025
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 31012-031 Wisconsin

Profile Details

NPI number 1912959776
LBN Legal business name King, Kathy Jo
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 9th, 2007 - about 19 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 1912959776 NPPES
Wisconsin MEDICAID 38244900

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