Individual
KIMBERLY E CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-0805
Mailing address
524 MUEHL ST, SEYMOUR, WI 54165-1235
(920) 869-2357
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
13442-33
WI
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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