Individual
KAREN K KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
702 N BLACKHAWK AVE, STE 100, MADISON, WI 53705-3357
(608) 663-5926
(608) 663-5928
Mailing address
702 N BLACKHAWK AVE, STE 100, MADISON, WI 53705-3357
(608) 663-5926
(608) 663-5928
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1172057
WI
Other
Enumeration date
09/02/2005
Last updated
07/16/2010
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