Individual
MS. KIMBERLY J WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, RCS
Contact information
Practice address
1305 CAMELOT DR, JANESVILLE, WI 53548-1495
(608) 758-2429
Mailing address
4124 BORDEAUX DR, JANESVILLE, WI 53546-1739
(608) 751-6974
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309781-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
309781-031
DEPARTMENT OF REGULATION AND LICENSING
WI
Enumeration date
10/21/2008
Last updated
10/21/2008
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