Provider Demographics
NPI:1275304990
Name:HINSENKAMP, KIMBERLEE (RN)
Entity Type:Individual
Prefix:
First Name:KIMBERLEE
Middle Name:
Last Name:HINSENKAMP
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KIMBERLEE
Other - Middle Name:
Other - Last Name:WEIMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7241 WALCZAK RD
Mailing Address - Street 2:
Mailing Address - City:FRANKSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53126-9772
Mailing Address - Country:US
Mailing Address - Phone:920-627-9995
Mailing Address - Fax:
Practice Address - Street 1:2900 W OKLAHOMA AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215-4330
Practice Address - Country:US
Practice Address - Phone:414-649-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI239064-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse