Individual
DR. KAYCI MICHELLE TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
2343 SILVERNAIL RD, PEWAUKEE, WI 53072-5402
(262) 548-9000
Mailing address
2343 SILVERNAIL RD, PEWAUKEE, WI 53072-5402
(262) 548-9000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5021-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100038146
—
WI
Enumeration date
05/27/2014
Last updated
09/10/2014
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