Lagrow, Kimberly Ann

Lagrow, Kimberly Ann is an sole proprietor health care provider with primary practice located at W125S6729 Jo Ct , Muskego WI 53150-3512. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lagrow, Kimberly Ann can be contacted via phone (262) 893-2645.

Contact Information

Primary practice address
W125S6729 Jo Ct Muskego WI 53150-3512
Phone: (262) 893-2645
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 130133-030 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 130133-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7506 Wisconsin

Profile Details

NPI number 1649321498
LBN Legal business name Lagrow, Kimberly Ann
Credentials R.N., FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Feb 2nd, 2017 - about 7 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 1649321498 NPPES
Wisconsin MEDICAID 39912500

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