Williams, Kimberly

Williams, Kimberly is an individual health care provider with primary practice located at 1616 N Casaloma Dr Ste 100 , Appleton WI 54913-8245. 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. Williams, Kimberly can be contacted via phone (414) 325-7246.

Contact Information

Primary practice address
1616 N Casaloma Dr Ste 100 Appleton WI 54913-8245
Phone: (414) 325-7246
Fax: (414) 325-3770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11987 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2155-33 Wisconsin

Profile Details

NPI number 1871541342
LBN Legal business name Williams, Kimberly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871541342 NPPES
Wisconsin MEDICAID 1871541342

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