Individual
KIM SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(779) 696-4425
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
041247484
IL
363LN0000X
Neonatal Nurse Practitioner
Primary
277-000415
IL
Other
Enumeration date
12/17/2007
Last updated
03/25/2021
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