Individual provider · Type 1 NPI
Tina Kaquatosh
Driver · Keshena, WI
NPI number
1326995960
Active
Practice location
N660 Hwy 47
Keshena, WI 54135-1125
Mailing address
PO Box 1125
Keshena, WI 54135-1125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | O4258138654402 (WI) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1326995960
Tina Kaquatosh's National Provider Identifier is 1326995960, issued on Mar 12, 2026. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Keshena, WI. The record was last updated on Jun 1, 2026.