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Bonny Kimball
NPI 1154752988 · on the registry since 2013
Practice
- Address
- 5152 Anton Dr
213
Fitchburg, WI 53719 - Phone
- (608) 217-4551
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-12-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin