Kudwa, Kimberly Marie

Kudwa, Kimberly Marie is an individual health care provider with primary practice located at 820 Arbutus Ave , Oconto WI 54153-2004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kudwa, Kimberly Marie can be contacted via phone (920) 834-8833.

Contact Information

Primary practice address
820 Arbutus Ave Oconto WI 54153-2004
Phone: (920) 834-8833
Fax: (920) 834-8830
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11476-33 Wisconsin

Profile Details

NPI number 1477212868
LBN Legal business name Kudwa, Kimberly Marie
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2021
Last updated Dec 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477212868 NPPES
Other 2020043142 AMERICAN NURSES CREDENTIALING CENTER

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