Hartmann, Kim L

Hartmann, Kim L is an individual health care provider with primary practice located at 5618 Odana Rd , Madison WI 53719-1208. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Hartmann, Kim L can be contacted via phone (608) 828-7611.

Contact Information

Primary practice address
5618 Odana Rd Madison WI 53719-1208
Phone: (608) 828-7611
Fax: (608) 260-6939
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 773 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 773-023 Wisconsin

Profile Details

NPI number 1306894068
LBN Legal business name Hartmann, Kim L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Nov 16th, 2021 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306894068 NPPES
Wisconsin MEDICAID 1306894068

Popular Providers