Kimble, Summer J

Kimble, Summer J is an individual health care provider with primary practice located at 150 S Sunny Slope Rd Suite 136, Brookfield WI 53005-6461. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kimble, Summer J can be contacted via phone (262) 786-4550.

Contact Information

Primary practice address
150 S Sunny Slope Rd Suite 136 Brookfield WI 53005-6461
Phone: (262) 786-4550
Fax: (262) 786-4552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1730130253
LBN Legal business name Kimble, Summer J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Sep 11th, 2012 - about 13 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 1730130253 NPPES
Wisconsin MEDICAID 1730130253

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