Mitchem, Kathy

Mitchem, Kathy is an sole proprietor health care provider with primary practice located at 284 Amory St , Fond Du Lac WI 54935-2460. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mitchem, Kathy can be contacted via phone (920) 904-5547.

Contact Information

Primary practice address
284 Amory St Fond Du Lac WI 54935-2460
Phone: (920) 904-5547
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1710630470
LBN Legal business name Mitchem, Kathy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2022
Last updated Feb 1st, 2022 - about 4 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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