Individual
MISS JAIMY VILLAVICENCIO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2900 W OKLAHOMA AVE FL 5, MILWAUKEE, WI 53215-4330
(414) 646-1550
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RT0003X
Transplant Hepatology Physician
Primary
84604-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100334384
—
WI
Enumeration date
04/27/2018
Last updated
09/18/2025
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