Kinservik, Margo

Kinservik, Margo is an individual health care provider with primary practice located at 130 2Nd St Pediatric Gastroenterology, Neenah WI 54956-2883. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Kinservik, Margo can be contacted via phone (920) 969-7970.

Contact Information

Primary practice address
130 2Nd St Pediatric Gastroenterology Neenah WI 54956-2883
Phone: (920) 969-7970
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 47834-030 Wisconsin

Profile Details

NPI number 1508810870
LBN Legal business name Kinservik, Margo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Feb 4th, 2014 - about 11 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 1508810870 NPPES
Other 008006261U HUMANA
MEDICAID 1508810870 HUMANA

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