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Kala Rae Ann Ennen
Student in an Organized Health Care Education/Training Program in Neenah, Wisconsin
NPI 1679354104

Kala Rae Ann Ennen is a Student in an Organized Health Care Education/Training Program based in Neenah, WI. Kala Rae Ann Ennen practices in Neenah, WI. The NPI Number for Kala Rae Ann Ennen is 1679354104 and holds a License No. (Wisconsin).

The current practice location address for Kala Rae Ann Ennen is 1041 Honeysuckle Ln, Neenah, WI and can be reached out via phone at 608-343-6916.

Location: 1041 Honeysuckle Ln, Neenah, WI, 54956-3930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679354104
Provider Name
Kala Rae Ann Ennen
Credential
Provider Entity Type
Individual
Gender
Female
Address
1041 Honeysuckle Ln, Neenah, WI, 54956-3930
Phone Number
608-343-6916
Fax Number
Provider Enumeration Date
10/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1041 Honeysuckle Ln
City
Neenah
State
Wisconsin
Zip
54956-3930
Phone Number
608-343-6916
Fax Number
person
Provider Business Mailing Address Details
Address
1041 Honeysuckle Ln
City
Neenah
State
Wisconsin
Zip
54956-3930
Phone Number
608-343-6916
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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