Ellingham, Kim M

Ellingham, Kim M is an individual health care provider with primary practice located at W3985 County Road Nn , Elkhorn WI 53121-4337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ellingham, Kim M can be contacted via phone (262) 741-2000.

Contact Information

Primary practice address
W3985 County Road Nn Elkhorn WI 53121-4337
Phone: (262) 741-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5002 Wisconsin

Profile Details

NPI number 1265781231
LBN Legal business name Ellingham, Kim M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2012
Last updated Dec 3rd, 2021 - about 4 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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