Individual
KIMBERLY HATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
135 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-8100
Mailing address
615 SOUTH ST, DEFOREST, WI 53532-1464
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8035
WI
Other
Enumeration date
12/30/2017
Last updated
07/20/2023
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