Individual
KIMBERLY GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
535 HOSPITAL RD, NEW RICHMOND, WI 54017-1449
(715) 243-3400
Mailing address
55 CROWN POINTE CURV, HUDSON, WI 54016-7776
(814) 490-7082
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9053
WI
Other
Enumeration date
02/23/2019
Last updated
02/23/2019
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