Halama, Kimberly A

Halama, Kimberly A is an individual health care provider with primary practice located at 1100 Lake View Dr , Wausau WI 54403-6785. 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. Halama, Kimberly A can be contacted via phone (715) 842-8548.

Contact Information

Primary practice address
1100 Lake View Dr Wausau WI 54403-6785
Phone: (715) 842-8548
Fax: (715) 842-8467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10545 Wisconsin

Profile Details

NPI number 1023118288
LBN Legal business name Halama, Kimberly A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jun 15th, 2009 - about 17 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 1023118288 NPPES
Wisconsin MEDICAID 36100200

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