Wisecup, Kimberly R

Wisecup, Kimberly R is an individual health care provider with primary practice located at 3186 S Maryland Pkwy , Las Vegas NV 89109-2306. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Wisecup, Kimberly R can be contacted via phone (702) 961-5000.

Contact Information

Primary practice address
3186 S Maryland Pkwy Las Vegas NV 89109-2306
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS019367 Pennsylvania
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X DO3189 Nevada

Profile Details

NPI number 1720469729
LBN Legal business name Wisecup, Kimberly R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2015
Last updated Jun 29th, 2022 - about 3 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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