Individual
KIM LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC, APNP
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-6820
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-6820
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
12134-33
WI
363LN0000X
Neonatal Nurse Practitioner
Primary
12134-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073232674
—
WI
Enumeration date
08/25/2022
Last updated
10/10/2024
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