Shoenbill, Kimberly A

Shoenbill, Kimberly A is an individual health care provider with primary practice located at 7322 7Th Ave , Kenosha WI 53143-5556. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shoenbill, Kimberly A can be contacted via phone (262) 658-0377.

Contact Information

Primary practice address
7322 7Th Ave Kenosha WI 53143-5556
Phone: (262) 658-0377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40248 Wisconsin

Profile Details

NPI number 1275527285
LBN Legal business name Shoenbill, Kimberly A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jul 30th, 2008 - about 16 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 1275527285 NPPES
Wisconsin MEDICAID 32484700

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