Search › Wisconsin › 103TC1900X
Kirsten Van Dyke, MS, TIC-C
NPI 1912714999 · on the registry since 2024 · sole proprietor
Practice
- Address
- 2258 Red Oak Dr
Green Bay, WI 54304 - Phone
- (920) 664-5989
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-13
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