Carroll, Kimberli Louise

Carroll, Kimberli Louise is an individual health care provider with primary practice located at 975 Port Washington Rd Nicu, Grafton WI 53024-9201. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Carroll, Kimberli Louise can be contacted via phone (262) 329-4900.

Contact Information

Primary practice address
975 Port Washington Rd Nicu Grafton WI 53024-9201
Phone: (262) 329-4900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 130979-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 1896-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1896-33 Wisconsin

Profile Details

NPI number 1952554289
LBN Legal business name Carroll, Kimberli Louise
Credentials MSN, NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2008
Last updated Nov 30th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952554289 NPPES
Wisconsin MEDICAID 100026057

Popular Providers