KIMBERLY MARIE KUDWA APNP NPI 1477212868

NPI Information

NPI: 1477212868
Provider Name: KIMBERLY MARIE KUDWA, APNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
820 ARBUTUS AVE
OCONTO, WI
ZIP 54153
Phone: (920) 834-8833
Get Directions

Kimberly Marie Kudwa, APNP is a family nurse practitioner in Oconto, WI with 5 years of experience. Kimberly Marie Kudwa, APNP NPI is 1477212868. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

820 ARBUTUS AVE
OCONTO, WI
ZIP 54153-004
Phone: (920) 834-8833
Fax: (920) 834-8830

The NPI 1477212868 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2021 and was last updated on 12/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	11476-33	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2020043142	OTHER		AMERICAN NURSES CREDENTIALING CENTER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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