Radtke, Kimberly

Radtke, Kimberly is an individual health care provider with primary practice located at 3400 Ministry Pkwy , Weston WI 54476-5220. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Radtke, Kimberly can be contacted via phone (715) 393-3000.

Contact Information

Primary practice address
3400 Ministry Pkwy Weston WI 54476-5220
Phone: (715) 393-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 4101-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4101 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4101 Wisconsin

Profile Details

NPI number 1407148042
LBN Legal business name Radtke, Kimberly
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2011
Last updated Jun 5th, 2015 - about 9 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 1407148042 NPPES
Wisconsin Other 4101 APNP LIC
Wisconsin Other 128613 APNP LIC

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