Provider Demographics
NPI:1386038909
Name:CIKAR, KATHLEEN JEAN (RN)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:JEAN
Last Name:CIKAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 E. RACINE STREET
Mailing Address - Street 2:SUITE 150
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53545
Mailing Address - Country:US
Mailing Address - Phone:608-754-3722
Mailing Address - Fax:608-754-3132
Practice Address - Street 1:32 E. RACINE STREET
Practice Address - Street 2:SUITE 150
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53545
Practice Address - Country:US
Practice Address - Phone:608-754-3722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI43480-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse