Organization
KIM WHITMORE PRIVATE DUTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM WHITMORE (RN)
(414) 403-2699
Entity
Organization
Contact information
Practice address
2780 BLUE ASTER BLVD, SUN PRAIRIE, WI 53590-4670
(414) 403-2699
Mailing address
2780 BLUE ASTER BLVD, SUN PRAIRIE, WI 53590-4670
(414) 403-2699
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/18/2006
Last updated
04/27/2015
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