Peterson, Kim B

Peterson, Kim B is an individual health care provider with primary practice located at 823 N 2Nd St Suite 213, Milwaukee WI 53203-1818. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Peterson, Kim B can be contacted via phone (414) 272-1466.

Contact Information

Primary practice address
823 N 2Nd St Suite 213 Milwaukee WI 53203-1818
Phone: (414) 272-1466
Fax: (414) 272-1467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 187-060 Wisconsin

Profile Details

NPI number 1932372182
LBN Legal business name Peterson, Kim B
Credentials HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2008
Last updated Apr 9th, 2008 - about 17 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 1932372182 NPPES
Wisconsin MEDICAID 42820600

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