Individual
KIMBERLY M DAHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3509 DEWEY ST, MANITOWOC, WI 54220
(920) 686-5732
(920) 686-5726
Mailing address
3509 DEWEY ST, MANITOWOC, WI 54220
(920) 686-5732
(920) 686-5726
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7834
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100069998
—
WI
Enumeration date
07/24/2017
Last updated
11/07/2023
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