Individual
DR. KIMBERLY BANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2402 WINNEBAGO ST, MADISON, WI 53704-5341
(608) 242-6840
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036-137482
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
036.137482
IL
207V00000X
Obstetrics & Gynecology Physician
81658-20
WI
Other
Enumeration date
04/06/2011
Last updated
05/18/2023
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