| K Bare Llc | |
|
1031 S Main Street Jefferson WI 53549-1631 | |
| (920) 541-3677 | |
| (920) 541-3678 |
| Full Name | K Bare Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1031 S Main Street, Jefferson, Wisconsin |
| Authorized Official Name and Position | Karilin Ann Bare (OWNER) |
| Authorized Official Contact | 9205413677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K Bare Llc 1031 S Main Street Jefferson WI 53549-1631 Ph: (920) 541-3677 | K Bare Llc 1031 S Main Street Jefferson WI 53549-1631 Ph: (920) 541-3677 |
| NPI Number | 1063991032 |
|---|---|
| Provider Enumeration Date | 08/10/2018 |
| Last Update Date | 08/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063991032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Wisconsin) | Primary |
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