Individual
MS. KIMOTHA MARIE SCHAEFER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4422 KNUELL CT, MANITOWOC, WI 54220-1534
(920) 629-2010
Mailing address
4422 KNUELL CT, MANITOWOC, WI 54220-1534
(920) 629-2010
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Enumeration date
03/29/2006
Last updated
07/08/2007
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