Individual
BETHANY MARIE KLETT-KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-0111
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-6820
(414) 266-6979
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
75204
WI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
75204
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679068381
—
WI
Enumeration date
06/25/2018
Last updated
07/10/2024
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