Individual provider · NPI-1

Kimberly W Neal

Case Manager/Care Coordinator · Racine, WI

NPI number1043967979
StatusActive
Last updated in NPPESOct 10, 2024

Details

NPI
1043967979
Entity type
Individual (NPI-1)
Name
Kimberly W Neal
Sex
Female
Sole proprietor
No
Enumeration date
Mar 10, 2022
Certification date
Oct 10, 2024
Last updated
Oct 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

4307 Wright Ave
Racine, WI 53405-3160

Phone 414-795-1080

Mailing address

4307 Wright Ave
Racine, WI 53405-3160

Phone 414-795-1080

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Case Manager/Care Coordinator providers in Racine, WI