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1205070836
KEDRA L KLUCKEY
GREEN BAY, WI
NPI
1205070836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 3804)
Enumeration Date
2009-04-27
Last Update Date
2019-10-04
Business Address
KEDRA L KLUCKEY APNP
2845 GREENBRIER RD
GREEN BAY, WI 54311-6519
Phone number: 920-288-4560
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Mailing Address
KEDRA L KLUCKEY APNP
2845 GREENBRIER RD
GREEN BAY, WI 54311-6519
Phone number: 920-288-5460
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