Kirstin Wellman
Dental Hygienist
15397 State Highway 32
Lakewood
, Wisconsin 54138-9702
Kirstin Wellman
Dental Hygienist
15397 State Highway 32
Lakewood
, Wisconsin 54138-9702
(715) 276-1428
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Kirstin Wellman
- 15397 State Highway 32 Po Box 179
- Lakewood, WI
- Zip : 54138-9702
- Fax : (715) 276-1428
- Phone : (715) 276-6321
Second Address
- Kirstin Wellman
- 15397 State Highway 32
- Lakewood, WI
- Zip : 54138-9702
- Fax : (715) 276-1428
- Phone : (715) 276-6321
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Is Kirstin Wellman a sole practitioner?
Is Kirstin Wellman accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 10122-016 | WI |
National Provider Identifier
| NPI | 1063739001 |
|---|---|
| Provider Name | Kirstin Wellman |
| First Address | Lakewood, WI 54138-9702 |
| Second Address | Lakewood, WI 54138-9702 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2010 |
| Last Update Date | 30/04/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.