Individual
MS. KIMBERLY KAYE RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1500 11TH AVE, 4, UNION GROVE, WI 53182-1316
(262) 902-3141
Mailing address
1500 11TH AVE, 4, UNION GROVE, WI 53182-1316
(262) 902-3141
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313432-031
WI
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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