SearchWisconsin101YA0400X

Kent Kollath, CSAC, CSIT

NPI 1679748677 · on the registry since 2008 · sole proprietor

Practice

Address
2911 Main Ave
Sheboygan, WI 53083
Phone
(920) 254-6922

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YA0400X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-06-01

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