Kristen E Lively, RN
NPI #1083970941 in Fort Atkinson, Wisconsin
Provider Information
- NPI Number
- 1083970941
- Entity Type
- Individual
- Name
- Kristen E Lively, RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Apr 4, 2012
- Last Updated
- Apr 4, 2012
Practice Location
- Address
- W7109 STATE ROAD 106
- City
- Fort Atkinson
- State
- Wisconsin
- ZIP Code
- 53538-9551
- Phone
- (920) 342-0622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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