Individual
DR. KIMBERLY COUTURE IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
42556
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34017100
—
WI
01
—
7075205
AETNA
WI
01
—
8808855
CIGNA
WI
Enumeration date
08/30/2005
Last updated
03/26/2013
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