Individual
KYMM ANN WALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2402 WINNEBAGO ST, MADISON, WI 53704-5341
(608) 242-6840
(608) 245-6117
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
150068
WI
Other
Enumeration date
05/06/2024
Last updated
12/18/2024
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