Individual
KIMERLETHA L AMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
4276 N 28TH ST, MILWAUKEE, WI 53216-1812
(414) 975-6680
Mailing address
4276A N 28TH ST, MILWAUKEE, WI 53216-1812
(414) 975-5680
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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