Buntrock, Kimberly Ann

Buntrock, Kimberly Ann is an individual health care provider with primary practice located at 945 N 12Th St Suite 1100, Milwaukee WI 53233-1305. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Buntrock, Kimberly Ann can be contacted via phone (414) 219-7776.

Contact Information

Primary practice address
945 N 12Th St Suite 1100 Milwaukee WI 53233-1305
Phone: (414) 219-7776
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11554-24 Wisconsin

Profile Details

NPI number 1386191195
LBN Legal business name Buntrock, Kimberly Ann
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2016
Last updated Jun 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386191195 NPPES
Wisconsin MEDICAID 100077039

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