Individual
KIMBERLY G THIRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F-NP
Contact information
Practice address
1118 S NEENAH AVE, STURGEON BAY, WI 54235
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6335-33
WI
Other
Enumeration date
04/29/2015
Last updated
10/18/2022
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