Individual
MS. KIM MARIE HENRICHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
20611 WATERTOWN RD, WAUKESHA, WI 53186-1871
(262) 798-1910
(262) 798-8660
Mailing address
S61W24405 RED WING DR, WAUKESHA, WI 53189-9511
(262) 513-3154
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
322-033
WI
Other
Enumeration date
10/24/2005
Last updated
04/16/2015
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