Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristen E Lively, RN

Individual provider Registered Nurse · NPI 1083970941

Kristen E Lively, RN is a Registered Nurse in Fort Atkinson, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

W7109 State Road 106
Fort Atkinson, WI 53538-9551
Phone: (920) 342-0622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 186577-30 (WI)

Record details

NPI number1083970941
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedApril 4, 2012
Last updated in NPPESApril 4, 2012
Mailing addressW7109 State Road 106, Fort Atkinson, WI 53538-9551

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