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Contact Information

KIM WOLLER, RN
319 QUAW AVE
EDGAR, WI54426-9316
 Phone: 715-352-3593
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Licensed Vocational Nurse

164X00000X
Indicates primary specialty

NPI Profile & details for KIM WOLLER · (Female)

NPI Number 1174929285
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 11/17/2014
Last updated 03/12/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 221487
  • WI License # 318084
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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