Doctor Name: | KATHLEEN MARIE GOSENHEIMER |
NPI Number: | 1154380764 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 79598-030 |
Business Practice Address: | 5890 Fulham Ct Greendale, WI - 531292132 |
Business Phone Number: | 4146280544 |
Business Fax Number: | |
Mailing Address: | 5890 Fulham Ct, GREENDALE |
State: | WI |
Postal Code: | 531292132 |
Phone Number: | 4146280544 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 79598-030 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |