Krickeberg, Kathleen J

Krickeberg, Kathleen J is an individual health care provider with primary practice located at 4600 W Loomis Rd , Greenfield WI 53220-4858. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Krickeberg, Kathleen J can be contacted via phone (414) 281-4466.

Contact Information

Primary practice address
4600 W Loomis Rd Greenfield WI 53220-4858
Phone: (414) 281-4466
Fax: (414) 281-4564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6616 Wisconsin

Profile Details

NPI number 1366810020
LBN Legal business name Krickeberg, Kathleen J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2015
Last updated Sep 18th, 2024 - about 2 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 1366810020 NPPES
Wisconsin MEDICAID 100048295

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