Individual
KIMBERLY BAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 S WOODLAND DR, WHITEWATER, WI 53190-1528
(920) 728-6627
Mailing address
330 S WOODLAND DR, WHITEWATER, WI 53190-1528
(920) 728-6627
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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