Kimberlee Kirste, RN
Individual provider Active NPI Registered Nurse · Cochrane, WI
NPI 1205475423 · NPPES record last updated Jan 6, 2020
Key facts
- NPI
- 1205475423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 156575-30 (WI)
- Practice address
- 107 Wisconsin Ave
Cochrane, WI 54622-7311 - Phone
- (715) 497-5222
- NPI assigned
- Jan 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156575-30 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 156575-30 | WI | Yes |
Addresses
Primary practice location
107 Wisconsin Ave
Cochrane, WI 54622-7311
Mailing address
13125 Jay St
Trempealeau, WI 54661-8315
Phone (608) 865-1339
Other providers in Cochrane, WI
- Jessica Kathleen Mattson
- Mork Dental, SC
- Desiree Michele Mork
- Roland W Pardun
- Jamie Lee Pronschinske
All providers in Cochrane, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.