Healthcare Provider Details

I. General information

NPI: 1801720396
Provider Name (Legal Business Name): JOANN KAMPERT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 DIVISION ST
IOLA WI
54945-9629
US

IV. Provider business mailing address

450 DIVISION ST
IOLA WI
54945-9629
US

V. Phone/Fax

Practice location:
  • Phone: 715-445-2411
  • Fax: 715-707-5139
Mailing address:
  • Phone: 715-445-2411
  • Fax: 715-707-5139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number161831-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: