Individual
KIMBERLY ANN KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
320 W GRAND AVE STE 204, WISCONSIN RAPIDS, WI 54495-2781
(715) 421-1107
Mailing address
11321 64TH ST S, WISCONSIN RAPIDS, WI 54494-9588
(715) 741-0500
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024106812
WI
Other
Enumeration date
02/13/2025
Last updated
02/16/2025
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