Individual
RAY KIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 SO PARK ST, MERITER HOSPITAL, MADISON, WI 53715
(608) 417-5695
Mailing address
202 SO PARK ST, MERITER HOSPITAL, MADISON, WI 53715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40168-20
WI
208M00000X
Hospitalist Physician
40168-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4002000
—
WI
Enumeration date
02/28/2006
Last updated
02/08/2013
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