Search › Wisconsin › 124Q00000X
Kathleen Revello, RDH
NPI 1669117495 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1100 E Verona Ave
Verona, WI 53593 - Phone
- (608) 845-6601
- Fax
- (608) 845-1264
- Organisation at this address
- County Of Dane
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin