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Individual

KIM LOUISE RUMSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
417 N 4TH ST, TOMAHAWK, WI 54487-1352
(715) 453-2515
Mailing address
601 S 32ND AVE, WAUSAU, WI 54401-3958
(715) 848-2526

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1626-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38764800
WI
01
38988300
MEDICAID GROUP
WI
01
39933
SECURITY HEALTH PLAN
01
CI1364
RAILROAD MEDICARE GROUP
WI
Enumeration date
06/25/2006
Last updated
12/27/2007
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