Individual
KIMBERLY MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, CNL
Contact information
Practice address
820 S MOORLAND RD, BROOKFIELD, WI 53005-6909
(414) 248-3002
Mailing address
820 S MOORLAND RD, BROOKFIELD, WI 53005-6909
(414) 248-3002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
170916-30
WI
Other
Enumeration date
01/05/2020
Last updated
01/05/2020
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