MRS. Kathleen Mae Buwalda, L.P.N.

NPI #1104183219 in Waupun, Wisconsin

Provider Information

NPI Number: 1104183219
Entity Type: Individual
Name: MRS. Kathleen Mae Buwalda, L.P.N.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Licensed Practical Nurse
Credential: L.P.N.
Enumeration Date: Apr 13, 2012
Last Updated: Apr 13, 2012

Practice Location

Address: W13546 MARSHVIEW RD
City: Waupun
State: Wisconsin
ZIP Code: 53963-9733
Phone: (920) 324-9948

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Licensed Practical Nurse	164W00000X	Primary

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