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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY R WISECUP, D.O.

Active

KIMBERLY R WISECUP, D.O. is a Neonatal-Perinatal Medicine healthcare provider located in LAS VEGAS, Nevada. NPI 1720469729 is currently active in the NPPES registry. Verify at CMS.

Neonatal-Perinatal Medicine · LAS VEGAS, NV

Registration Details

NPI Number
1720469729
Provider Type
Individual
Gender
Female
NPI Issued
Jun 15, 2015 (11.120394570756 yrs)
Last Updated
Jun 29, 2022
Licenses
OS019367 (PA)
DO3189 (NV)

Practice Information

Address
3186 S MARYLAND PKWY
LAS VEGAS, NV, 891092306
Browse NV providers · Browse ZIP 89109
Phone
7029615000
Primary Specialty
Neonatal-Perinatal Medicine
2080N0001X
Additional Specialty
Neonatal-Perinatal Medicine

Other Neonatal-Perinatal Medicine Providers in LAS VEGAS, NV

Name Credential NPI
MENTE DALERE MD 1710975420
DAVID BRUCE EDMONDS MD 1922084573
DR. MARTHA KNUTSEN M.D. 1306808241
DR. BARRY MICHAEL PERLIN M.D. 1134185457
DR. MICHAEL ANTHONY KULUZ M.D. 1295785236
RAFAEL A ZENTENO M.D. 1083669568
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.