Kathleen Lynnette Kube, LPN
Individual provider Active NPI Licensed Practical Nurse · Plover, WI
NPI 1972180578 · NPPES record last updated Mar 28, 2021
Key facts
- NPI
- 1972180578
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 324984-31 (WI)
- Practice address
- 1520 Green Tree Dr
Plover, WI 54467-2300 - Phone
- (715) 295-4707
- NPI assigned
- Mar 28, 2021
- 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 |
|---|---|---|---|
| 324984-31 | WI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 324984-31 | WI | Yes |
Addresses
Primary practice location
1520 Green Tree Dr
Plover, WI 54467-2300
Mailing address
1520 Green Tree Dr
Plover, WI 54467-2300
Phone (715) 295-4707
Other providers in Plover, WI
- Kerry M Kluck
- Derek Konkol
- Deborah L Kosobucki
- Leah Krueger
- Bruce R Krygowski
- Lynn Kuklinski
- Tiffany L Kula
- Larry Woods, OD
- Kimberley Louise Laube
- Alyssa Marie Lenze
All providers in Plover, 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 Mar 28, 2021. 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.