MEDICARE: MS. CYNTHIA RAE KLABUNDE R.N, B.S.N

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
1	163WH0200X	Home Health Registered Nurse		WI

Other Identifiers

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

General Provider Information

NPI Number	:	1952457269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA RAE KLABUNDE R.N, B.S.N

Provider Business Mailing Address
First Line	:	949 BONNIE LN
Second Line	:
City	:	GENOA CITY
State	:	WI
Zip	:	53128-2062
Country	:	US
Telephone Number	:	262-279-6909
Fax Number	:

Provider Business Practice Location Address
First Line	:	949 BONNIE LN
Second Line	:
City	:	GENOA CITY
State	:	WI
Zip	:	53128-2062
Country	:	US
Telephone Number	:	262-279-6909
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2007
Last Update Date	:	07/09/2007

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