Mary Kassel, LPN
Individual provider Active NPI Licensed Practical Nurse · Brownsville, WI
NPI 1104953348 · NPPES record last updated Aug 29, 2024
Key facts
- NPI
- 1104953348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 33667-031 (WI)
- Practice address
- 414 Clark St
Brownsville, WI 53006-2631 - Phone
- (920) 216-7773
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33667-031 | WI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 33667-031 | WI | Yes |
Addresses
Primary practice location
414 Clark St
Brownsville, WI 53006-2631
Mailing address
414 Clark St
Brownsville, WI 53006-2631
Phone (920) 216-7773
Other providers in Brownsville, WI
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- Kayla P Dockins
- Lorrie Carol Frey
- Danielle Leroy
- Ronald Stanley Lisiecki
- Patricia Gail Maltby
- Debra J Noel
- John F Pesch Jr.
All providers in Brownsville, WI · Licensed Practical Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.