Kiemen, Joann

Kiemen, Joann is an individual health care provider with primary practice located at 146 E Geneva Sq , Lake Geneva WI 53147-9695. 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. Kiemen, Joann can be contacted via phone (262) 249-5030.

Contact Information

Primary practice address
146 E Geneva Sq Lake Geneva WI 53147-9695
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1194918698
LBN Legal business name Kiemen, Joann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2007
Last updated Jan 8th, 2024 - about 11 months 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 1194918698 NPPES
Wisconsin MEDICAID 36055500

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