Individual
MRS. KRISTIN CROMWELL KIM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
11101 W LINCOLN AVE, ROGERS MEMORIAL HOSPITAL, WEST ALLIS, WI 53227-1133
(414) 327-3000
Mailing address
3630 N HICKORY LN, ROGERS MEMORIAL HOSPITAL, OCONOMOWOC, WI 53066-4532
(262) 646-1338
(262) 646-7067
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2405
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43578100
—
WI
Enumeration date
08/16/2005
Last updated
07/08/2007
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