Individual
KIM P ELST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1077 CORONADO CT, ONEIDA, WI 54155-8644
(920) 434-0253
Mailing address
1077 CORONADO CT, ONEIDA, WI 54155-8644
(920) 434-0253
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
168410-030
WI
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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