Individual
DR. KIMBERLI TRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
500 APPLETON ST, MENASHA, WI 54952-2330
(920) 205-0711
Mailing address
500 APPLETON ST, MENASHA, WI 54952-2330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4622-012
WI
Other
Enumeration date
07/11/2010
Last updated
07/11/2010
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