Provider Demographics
NPI:1689992414
Name:SODA-MURKLEY, KIMBERLY J (RN)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:J
Last Name:SODA-MURKLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W1159 SUPER SPORT DR
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:54923-8811
Mailing Address - Country:US
Mailing Address - Phone:920-290-0293
Mailing Address - Fax:
Practice Address - Street 1:W1159 SUPER SPORT DR
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:WI
Practice Address - Zip Code:54923-8811
Practice Address - Country:US
Practice Address - Phone:920-290-0293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI159645-30163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health