Sandra Jean Kaul, RN

Individual provider Active NPI Registered Nurse · Montello, WI

NPI 1689464489 · NPPES record last updated May 7, 2025

Key facts

NPI
1689464489
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
175661-30 (WI)
Practice address
272 E Montello St
Montello, WI 53949-9701
Phone
(608) 697-9642
Fax
(608) 697-9642
NPI assigned
May 7, 2025
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
175661-30WIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 175661-30 WI Yes

Addresses

Primary practice location

272 E Montello St
Montello, WI 53949-9701

Mailing address

272 E Montello St
Montello, WI 53949-9701
Phone (608) 697-9642

Other names

  • Sandra Jean Zimmerman Former name

Other providers in Montello, WI

All providers in Montello, WI · Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.