Individual
KIMBERLY MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 W SPENCE ST, COLBY, WI 54421-9800
(715) 223-9164
(608) 535-5147
Mailing address
PO BOX 394, COLBY, WI 54421-0394
(715) 223-9164
(608) 535-5147
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
—
SC
146N00000X
Basic Emergency Medical Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
183700000X
Pharmacy Technician
—
—
3416A0800X
Air Ambulance
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747P1801X
Personal Care Attendant
—
MN
Other
Enumeration date
12/16/2021
Last updated
01/15/2024
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