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Shanda Goecks
NPI 1891262275 · on the registry since 2018 · sole proprietor
Practice
- Address
- 6916 26th Ave
Kenosha, WI 53143 - Phone
- (262) 914-0081
Additional practice sites
- 6916 26th Ave, Kenosha, WI
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-24
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