Koike, Kim Krystal
Koike, Kim Krystal is an sole proprietor health care provider with primary practice located at 3712 Fiddlers Creek Dr. , Waukesha WI 53188. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Koike, Kim Krystal can be contacted via phone (314) 640-4724.Contact Information
Primary practice address
3712 Fiddlers Creek Dr.
Waukesha WI 53188
Phone: (314) 640-4724
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | 001148 | Missouri |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 001148 | Missouri |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 001148 | Missouri |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 6645-26 | Wisconsin |
Profile Details
| NPI number | 1699279604 |
|---|---|
| LBN Legal business name | Koike, Kim Krystal |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2018 |
| Last updated | Jun 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699279604 | NPPES |
| Missouri | Other | 001148 | ERGONOMICS/INJURY PREVENTION & OCCUPATIONAL THERAPY |
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