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Individual

DR. RENEE K. KIMBALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
884 S JANESVILLE ST, SUITE C, WHITEWATER, WI 53190-2508
(262) 472-9115
Mailing address
1920 TOWN HALL RD, BELOIT, WI 53511-9770
(608) 362-7693

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4115
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
743131825
FED. TAX ID
WI
01
743131825015
BCBS
WI
Enumeration date
10/19/2006
Last updated
03/11/2024
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