Wallman, Kimberly Kay

Wallman, Kimberly Kay is an individual health care provider with primary practice located at 1414 W Fair Ave Ste 285 , Marquette MI 49855-5406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Wallman, Kimberly Kay can be contacted via phone (906) 226-4618.

Contact Information

Primary practice address
1414 W Fair Ave Ste 285 Marquette MI 49855-5406
Phone: (906) 226-4618
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 5101014957 Michigan

Profile Details

NPI number 1720061385
LBN Legal business name Wallman, Kimberly Kay
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Dec 10th, 2018 - about 7 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 1720061385 NPPES
Michigan MEDICAID 4785309
Michigan Other P00260303

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