Individual
KIMBERLY ELSIA MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 S 4TH ST, MOUNT HOREB, WI 53572-2219
(608) 206-3636
Mailing address
315 S 4TH ST, MOUNT HOREB, WI 53572-2219
(608) 206-3636
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
116861-30
WI
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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