Van Buren, Kimberley G

Van Buren, Kimberley G is an individual health care provider with primary practice located at 818 Forrest Dr , Waterford WI 53185-4577. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Van Buren, Kimberley G can be contacted via phone (262) 514-3700.

Contact Information

Primary practice address
818 Forrest Dr Waterford WI 53185-4577
Phone: (262) 514-3700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2030 Wisconsin

Profile Details

NPI number 1275680290
LBN Legal business name Van Buren, Kimberley G
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Oct 17th, 2023 - about 2 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 1275680290 NPPES
Wisconsin MEDICAID 43956900

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