Skerven, Kimberly R.

Skerven, Kimberly R. is an sole proprietor health care provider with primary practice located at 250 N Sunny Slope Rd Ste. 128, Brookfield WI 53005-4809. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Skerven, Kimberly R. can be contacted via phone (262) 782-2820.

Contact Information

Primary practice address
250 N Sunny Slope Rd Ste. 128 Brookfield WI 53005-4809
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6989-123 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2800 Wisconsin

Profile Details

NPI number 1669454088
LBN Legal business name Skerven, Kimberly R.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2005
Last updated May 18th, 2009 - 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 1669454088 NPPES
Wisconsin MEDICAID 43572600

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