Individual
KIMBERLY M HORNBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC SPORTS MEDICINE, MILWAUKEE, WI 53226-4874
(414) 337-7300
(414) 337-7337
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC SPORTS MEDICINE, MILWAUKEE, WI 53226-4874
(414) 337-7300
(414) 337-7337
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
00000
MN
2080S0010X
Pediatric Sports Medicine Physician
49351
AZ
2080S0010X
Pediatric Sports Medicine Physician
Primary
55520-20
WI
Other
Enumeration date
07/14/2009
Last updated
12/09/2015
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