Individual
MS. KIM MARIE MARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
940 16TH ST N, WISCONSIN RAPIDS, WI 54494-3033
(715) 423-0915
Mailing address
940 16TH ST N, WISCONSIN RAPIDS, WI 54494-3033
(715) 423-0915
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
178493-030
WI
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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