Wisecup, Kimberly R
Wisecup, Kimberly R is an individual health care provider with primary practice located at 3186 S Maryland Pkwy , Las Vegas NV 89109-2306. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Wisecup, Kimberly R can be contacted via phone (702) 961-5000.Contact Information
Primary practice address
3186 S Maryland Pkwy
Las Vegas NV 89109-2306
Phone: (702) 961-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS019367 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | DO3189 | Nevada |
Profile Details
| NPI number | 1720469729 |
|---|---|
| LBN Legal business name | Wisecup, Kimberly R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2015 |
| Last updated | Jun 29th, 2022 - about 4 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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