Individual
KIMBERLY KATE MIZELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
(262) 245-4627
Mailing address
225 GRACE ST, WALWORTH, WI 53184-9636
(262) 745-9353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
179925-30
WI
Other
Enumeration date
08/18/2025
Last updated
10/15/2025
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