Kara Conachen, RDH
Individual provider Active NPI Dental Hygienist · Weston, WI
NPI 1245919620 · NPPES record last updated Jul 18, 2023
Key facts
- NPI
- 1245919620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 11512-16 (WI)
- Practice address
- 4009 Community Center Dr
Weston, WI 54476-4139 - Phone
- (715) 842-5437
- NPI assigned
- Jul 13, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 11512-16 | WI | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 11512-16 | WI | Yes |
Addresses
Primary practice location
4009 Community Center Dr
Weston, WI 54476-4139
Mailing address
4009 Community Center Dr
Weston, WI 54476-4139
Other practice location 1
413 N 17th Ave
Wausau, WI 54401-4611
Phone (715) 842-4649
Other providers in Weston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2023. 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.