Summer J Kimble in Brookfield - Physician Assistant
Summer J Kimble - NPI 1730130253
Summer J Kimble is a Physician Assistant in Brookfield, Wisconsin. Summer J Kimble practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Summer J Kimble is 1730130253. The last update date is 2012-09-11.
Summer J Kimble's current location address is 150 S Sunny Slope Rd, Brookfield, Wisconsin. You can contact this provider via phone number 2627864550 and fax number 2627864552. The mailing address for Summer J Kimble is 150 S Sunny Slope Rd, Brookfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Summer J Kimble |
|---|---|
| Address | 150 S Sunny Slope Rd, Brookfield, Wisconsin |
| Phone Number | 2627864550 |
| Fax Number | 2627864552 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1730130253 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2012-09-11 |
Provider Mailing Address Detail
| Address | 150 S Sunny Slope Rd |
|---|---|
| City | Brookfield |
| State | Wisconsin (WI) |
| Post Code | 530056461 |
| Phone Number | 2627864550 |
| Fax Number | 2627864552 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1730130253 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Summer J Kimble by the Centers for Medicare & Medicaid Services (CMS)?
The Summer J Kimble has been assigned the NPI (National Provider Identifier) 1730130253. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Summer J Kimble?
The Summer J Kimble is physically situated at 150 S Sunny Slope Rd, in the city of Brookfield, state of WI, with the postal code 530056461.
What is the area of specialization for Summer J Kimble, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Summer J Kimble is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Summer J Kimble's 1730130253 issued?
The Summer J Kimble's 1730130253 was issued on 2006-05-12.
When was the Summer J Kimble's information last updated?
The Summer J Kimble's information was last updated on 2012-09-11.
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