Kocher, Kimberly Poremba

Kocher, Kimberly Poremba is an individual health care provider with primary practice located at 4600 W Loomis Rd , Greenfield WI 53220-4858. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kocher, Kimberly Poremba can be contacted via phone (414) 281-4466.

Contact Information

Primary practice address
4600 W Loomis Rd Greenfield WI 53220-4858
Phone: (414) 281-4466
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 7918 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3325 Wisconsin

Profile Details

NPI number 1801202445
LBN Legal business name Kocher, Kimberly Poremba
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2014
Last updated May 4th, 2023 - about 2 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 1801202445 NPPES
Wisconsin MEDICAID 100038637

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