Devault, Kimberly Jo
Devault, Kimberly Jo is an individual health care provider with primary practice located at 4901 Cottage Grove Rd , Madison WI 53716-1392. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Devault, Kimberly Jo can be contacted via phone (608) 221-1501.Contact Information
Primary practice address
4901 Cottage Grove Rd
Madison WI 53716-1392
Phone: (608) 221-1501
Fax: (608) 223-3540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 3874-024 | Wisconsin |
Profile Details
| NPI number | 1083659437 |
|---|---|
| LBN Legal business name | Devault, Kimberly Jo |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Dec 18th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083659437 | NPPES |
| Wisconsin | MEDICAID | 1083659437 |
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