Individual
KIMBERLY H. WEEKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5408 W BURLEIGH ST, MILWAUKEE, WI 53210-1624
(414) 445-6520
(414) 445-6875
Mailing address
5408 W BURLEIGH ST, MILWAUKEE, WI 53210-1624
(414) 445-6520
(414) 445-6875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1756-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41996800
—
WI
Enumeration date
08/23/2006
Last updated
09/23/2008
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