Daniel, Kimberly Rose

Daniel, Kimberly Rose is an individual health care provider with primary practice located at 116 N Main St , Shawano WI 54166-2356. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Daniel, Kimberly Rose can be contacted via phone (715) 526-7266.

Contact Information

Primary practice address
116 N Main St Shawano WI 54166-2356
Phone: (715) 526-7266
Fax: (715) 526-7294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2030-154 Wisconsin

Profile Details

NPI number 1598751737
LBN Legal business name Daniel, Kimberly Rose
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jul 8th, 2007 - about 19 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 1598751737 NPPES
Wisconsin MEDICAID 42804000

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