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Kathleen Elizabeth White, C.P.O

in Greenfield, WI. Individual provider (NPI-1).

NPI number1871061069
StatusActive
Last updated in NPPESNov 6, 2018

Details

NPI
1871061069
Entity type
Individual (NPI-1)
Name
Ms. Kathleen Elizabeth White
Credential
C.P.O
Sex
Female
Sole proprietor
No
Enumeration date
Nov 6, 2018
Last updated
Nov 6, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Z00000X ––Yes
224P00000X Prosthetist––

Practice location

6790 W. Layton Ave
Greenfield, WI 53220

Phone 414-282-3100 · Fax 414-282-3101

Mailing address

326 W. Florida St.
Apt #206
Milwaukee, WI 53204

Phone 847-347-1605 · Fax 414-282-3101

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