Individual
KIMULA A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC, APNP
Contact information
Practice address
5300 W VILLARD AVE, MILWAUKEE, WI 53218-4345
(414) 438-6666
(414) 438-6667
Mailing address
5300 W VILLARD AVE, MILWAUKEE, WI 53218-4345
(414) 438-6666
(414) 438-6667
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
151449-30
WI
363LF0000X
Family Nurse Practitioner
Primary
3471-33
WI
Other
Enumeration date
05/05/2008
Last updated
08/09/2011
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