Individual
SUMMER J KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 S SUNNY SLOPE RD, SUITE 136, BROOKFIELD, WI 53005-6461
(262) 786-4550
(262) 786-4552
Mailing address
150 S SUNNY SLOPE RD, SUITE 136, BROOKFIELD, WI 53005-6461
(262) 786-4550
(262) 786-4552
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1993
WI
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730130253
—
WI
Enumeration date
05/12/2006
Last updated
05/06/2025
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