Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY BANACH
Active Sole ProprietorKIMBERLY BANACH is a Licensed Practical Nurse healthcare provider located in WIND LAKE, Wisconsin. NPI 1326491002 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · WIND LAKE, WI
Registration Details
- NPI Number
- 1326491002
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2016 (10.071741274589 yrs)
- Last Updated
- Jul 19, 2016
- License
-
320837 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6730 PARK LNWIND LAKE, WI, 531852704Browse WI providers · Browse ZIP 53185
- Phone
- 2628449734
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.