Wolf, Kim Marie

Wolf, Kim Marie is an sole proprietor health care provider with primary practice located at 13800 W Maria Dr , New Berlin WI 53151-6889. 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. Wolf, Kim Marie can be contacted via phone (414) 529-4378.

Contact Information

Primary practice address
13800 W Maria Dr New Berlin WI 53151-6889
Phone: (414) 529-4378
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 966-033 Wisconsin

Profile Details

NPI number 1366603581
LBN Legal business name Wolf, Kim Marie
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2008
Last updated Dec 31st, 2018 - about 8 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 1366603581 NPPES
Wisconsin MEDICAID 1366603581

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