Kimbrough, Elizabeth L

Kimbrough, Elizabeth L is an individual health care provider with primary practice located at 491 S Washburn St Suite 100, Oshkosh WI 54904-6733. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kimbrough, Elizabeth L can be contacted via phone (920) 292-5555.

Contact Information

Primary practice address
491 S Washburn St Suite 100 Oshkosh WI 54904-6733
Phone: (920) 292-5555
Fax: (920) 292-1717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42248 Wisconsin

Profile Details

NPI number 1750366704
LBN Legal business name Kimbrough, Elizabeth L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jul 21st, 2016 - about 10 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 1750366704 NPPES
Wisconsin Other 13124 DEAN
Wisconsin Other WI01A2 DEAN
Wisconsin Other 110232655 DEAN
Wisconsin Other 390807236YY DEAN
Wisconsin MEDICAID 33345700 DEAN

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