Anderson Khan, Kimberly J

Anderson Khan, Kimberly J is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Pain Management, Milwaukee WI 53226-4874. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Anderson Khan, Kimberly J can be contacted via phone (414) 266-6969.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Pain Management Milwaukee WI 53226-4874
Phone: (414) 266-6969
Fax: (414) 266-1761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2412 Wisconsin

Profile Details

NPI number 1932153053
LBN Legal business name Anderson Khan, Kimberly J
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Nov 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932153053 NPPES
Wisconsin MEDICAID 39138900
Wisconsin Other 009000261H
Wisconsin MEDICAID 1932153053

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