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Contact Information

KIMBERLEY BEVAN
1284 EAST SUMMIT AVENUE
SUITE 100
OCONOMOWOC, WI53066
 Phone: 262-569-8204
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for KIMBERLEY BEVAN · (Female)

NPI Number 1518384643
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2014
Last updated 03/26/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 03-2-14081
  • WI License # 10040-40
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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