Individual
DR. KIMBERLY J ANDERSON KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC PAIN MANAGEMENT, MILWAUKEE, WI 53226-4874
(414) 266-6969
(414) 266-1761
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC PAIN MANAGEMENT, MILWAUKEE, WI 53226-4874
(414) 266-6969
(414) 266-1761
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2412
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009000261H
HUMANA
—
05
—
1932153053
—
WI
05
—
39138900
—
WI
Enumeration date
05/22/2006
Last updated
11/15/2019
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