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NPI Code Detail

MEDICARE: KRISTIN MARIE KMECHECK APSW

MEDICARE: KRISTIN MARIE KMECHECK APSW
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
11041C0700XClinical Social Worker135029121WI

General Provider Information

NPI Number : 1992534515
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN MARIE KMECHECK APSW
Provider Business Mailing Address
First Line : 502 E NEW YORK AVE
Second Line :
City : OSHKOSH
State : WI
Zip : 54901-3938
Country : US
Telephone Number : 920-659-6121
Fax Number : 920-267-3480
Provider Business Practice Location Address
First Line : 502 E NEW YORK AVE
Second Line :
City : OSHKOSH
State : WI
Zip : 54901-3938
Country : US
Telephone Number : 920-659-6121
Fax Number : 920-267-3480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2024
Last Update Date : 07/31/2024

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Directions to “ KRISTIN MARIE KMECHECK APSW” Practice Location

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