Individual
MRS. KIMBERLY MAY KICERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1323 CRESTON PARK DR, JANESVILLE, WI 53545-1126
(608) 756-9440
Mailing address
634 NOTTINGHAM RD, STOUGHTON, WI 53589-4845
(608) 877-7844
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6345-024
WI
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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