Wilcox, Kimberly J
Wilcox, Kimberly J is an individual health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Wilcox, Kimberly J can be contacted via phone (920) 433-3500.Contact Information
Primary practice address
744 S Webster Ave
Green Bay WI 54301-3505
Phone: (920) 433-3500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 072750 | Illinois |
Nursing Service Providers / Registered Nurse | 163W00000X | 148836 | Wisconsin |
Profile Details
NPI number | 1629277587 |
---|---|
LBN Legal business name | Wilcox, Kimberly J |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 2007 |
Last updated | Mar 30th, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629277587 | NPPES |
Wisconsin | MEDICAID | 44339100 |
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