Heal, Kimberly Marie Skrum

Heal, Kimberly Marie Skrum is an individual health care provider with primary practice located at 901 Mulberry St , Lake Mills WI 53551-1335. 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. Heal, Kimberly Marie Skrum can be contacted via phone (608) 648-3144.

Contact Information

Primary practice address
901 Mulberry St Lake Mills WI 53551-1335
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2376-154 Wisconsin

Profile Details

NPI number 1053526517
LBN Legal business name Heal, Kimberly Marie Skrum
Credentials MSCCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
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 1053526517 NPPES
Wisconsin MEDICAID 42567900

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