Oliver, Kimberly K

Oliver, Kimberly K is an individual health care provider with primary practice located at 1405 Mill St , New London WI 54961-2155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Oliver, Kimberly K can be contacted via phone (920) 531-2000.

Contact Information

Primary practice address
1405 Mill St New London WI 54961-2155
Phone: (920) 531-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0191 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 6607-33 Wisconsin

Profile Details

NPI number 1265757843
LBN Legal business name Oliver, Kimberly K
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2010
Last updated Oct 3rd, 2024 - about 2 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 1265757843 NPPES
Minnesota MEDICAID ENROLLED
Minnesota Other P00839047
Minnesota MEDICAID ENROLLED

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