Kimberly K McDonald
Individual provider Active NPI Social Worker · Baldwin, WI
NPI 1679729602 · NPPES record last updated Dec 29, 2015
Key facts
- NPI
- 1679729602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 730 10TH Ave
Baldwin, WI 54002-9416 - Phone
- (715) 684-3311
- Fax
- (715) 684-4757
- NPI assigned
- Aug 11, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
730 10TH Ave
Baldwin, WI 54002-9416
Mailing address
730 10TH Ave
Baldwin, WI 54002-9416
Phone (715) 684-3331
Other providers in Baldwin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2015. 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.