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Individual

KIMALA HOLLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-6640
Mailing address
807 MAYFAIR DR, RACINE, WI 53402-2929
(414) 499-2957

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
16638-33
WI

Other

Enumeration date
04/25/2025
Last updated
04/25/2025
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