Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 71458-21 | WI |
NPI | 1053773887 |
---|---|
Provider Name | Rachel Elizabeth Kneeland |
First Address | Madison, WI 53792-0001 |
Second Address | Madison, WI 53792-6040 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2016 |
Last Update Date | 19/06/2020 |