Ms. Kathleen Mary Endres
Dental Hygienist
1223 Darlene Dr
Menasha
, Wisconsin 54952-1829
Ms. Kathleen Mary Endres
Dental Hygienist
1223 Darlene Dr
Menasha
, Wisconsin 54952-1829
(920) 470-1450
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Ms. Kathleen Mary Endres
- 1223 Darlene Dr
- Menasha, WI
- Zip : 54952-1829
- Phone : (920) 470-1450
Second Address
- Ms. Kathleen Mary Endres
- 1223 Darlene Dr
- Menasha, WI
- Zip : 54952-1829
- Phone : (920) 470-1450
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 5775-016 | WI |
National Provider Identifier
| NPI | 1003090895 |
|---|---|
| Provider Name | Ms. Kathleen Mary Endres |
| First Address | Menasha, WI 54952-1829 |
| Second Address | Menasha, WI 54952-1829 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/12/2007 |
| Last Update Date | 28/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 33814800 | (05) | WI |
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.