IndividualActive
Jessica Koluch
NPI 1245581289 · Community Health Worker · Necedah, WI
Provider details
- NPI number
- 1245581289
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0014118 (WI)
Specialties & taxonomies
Other Service Providers
Practice location
N11893 12th Ave
Necedah, WI 54646-7528
Phone: (608) 548-2342
Approximate (ZIP-level) locationGet directions
Mailing address
N11893 12th Ave
Necedah, WI 54646-7528
Registry dates
- Enumerated
- 2012-10-01
- Last updated
- 2012-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.