Individual
KIMBERLY MOLDENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
23 W SCOTT ST, FOND DU LAC, WI 54935-2342
(920) 926-0101
Mailing address
23 W SCOTT ST, FOND DU LAC, WI 54935-2342
(920) 926-0101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
143118
WI
Other
Enumeration date
07/24/2013
Last updated
06/07/2023
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