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NPI Code Detail

MEDICARE: MICHELE LYNN KLEE LPN

MEDICARE:   MICHELE LYNN KLEE  LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse309914-031WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811141799
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE LYNN KLEE LPN
Provider Business Mailing Address
First Line : 5007 REINER RD
Second Line :
City : MADISON
State : WI
Zip : 53718-6341
Country : US
Telephone Number : 608-770-9996
Fax Number :
Provider Business Practice Location Address
First Line : 5007 REINER RD
Second Line :
City : MADISON
State : WI
Zip : 53718-6341
Country : US
Telephone Number : 608-770-9996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2008
Last Update Date : 09/08/2023

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Directions to “ MICHELE LYNN KLEE LPN” Practice Location

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