Individual
KIMBERLY R BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 531-2400
(920) 531-2463
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4493
WI
363LF0000X
Family Nurse Practitioner
4493
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016638
—
WI
Enumeration date
08/10/2011
Last updated
02/23/2023
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