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Individual

DR. KIMBERLY JANE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE, MILWAUKEE, WI 53226-4874
(414) 266-3786
(414) 337-4185
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE, MILWAUKEE, WI 53226-4874
(414) 266-3786
(414) 337-4185

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
43133
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006006261L
HUMANA
05
1902857451
WI
Enumeration date
05/12/2006
Last updated
05/07/2014
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