Individual
KIMBERLY PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2911 N 5TH ST, MILWAUKEE, WI 53212-2329
(414) 263-1601
Mailing address
2911 N 5TH ST, MILWAUKEE, WI 53212-2329
(414) 263-1601
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307715031
WI
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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