Zeller, Kim L
Zeller, Kim L is an individual health care provider with primary practice located at 401 S Elm St , Appleton WI 54911-5900. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Zeller, Kim L can be contacted via phone (920) 832-5270.Contact Information
Primary practice address
401 S Elm St
Appleton WI 54911-5900
Phone: (920) 832-5270
Fax: (920) 832-5488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4403-125 | Wisconsin |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 15359-132 | Wisconsin |
Profile Details
| NPI number | 1184814725 |
|---|---|
| LBN Legal business name | Zeller, Kim L |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2007 |
| Last updated | Aug 25th, 2014 - about 12 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 | 1184814725 | NPPES |
| Wisconsin | MEDICAID | 39179500 |
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