Individual
DR. KIMBERLY SUE HOENECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1300 SOUTH DRIVE, WINNEBAGO, WI 54985-5498
(920) 235-4910
Mailing address
1300 SOUTH DRIVE, WINNEBAGO, WI 54985
(920) 235-4910
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
63256
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184068181
—
WI
Enumeration date
04/20/2013
Last updated
06/24/2024
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