SearchWisconsin164W00000X

Kimberly Payne

NPI 1205168200 · on the registry since 2010 · sole proprietor

Practice

Address
2911 N 5th St
Milwaukee, WI 53212
Phone
(414) 263-1601
Organisation at this address
Another Place Called Home Ii, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-02-02

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