Individual
KIMBERLY J GEHRIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, FNP-BC
Contact information
Practice address
5900 S LAKE DR, CUDAHY, WI 53110-3171
(414) 489-4190
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8324
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100076573
—
WI
Enumeration date
03/30/2018
Last updated
04/17/2024
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