Beverly A. Kimball, PA-C
Physician Assistant in Rice Lake, WI. Individual provider (NPI-1).
NPI number1245293463
StatusActive
Last updated in NPPESJul 7, 2010
Details
- NPI
- 1245293463
- Entity type
- Individual (NPI-1)
- Name
- Beverly A. Kimball
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2006
- Last updated
- Jul 7, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 225-023 | WI | Yes |
| 207Q00000X | Family Medicine | 8905 | MN |
Other names
- Beverly Ann Frye-Freeman (Former Name)
Practice location
1700 W Stout StRice Lake, WI 54868-5000
Phone 715-236-8100
Mailing address
1000 N Oak AveMarshfield, WI 54449-5703
Phone 715-387-5511
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 Physician Assistant providers in Rice Lake, WI
- Anthony D Bergmann, PACNPI 1184723504
- Margaret N Brucker, PANPI 1346349750
- Kay Loree Case, PA-CNPI 1457305781
- Miranda Dayton, PANPI 1447053004
- Janaan M. Duellman, PA-CNPI 1235104928
- Rebecca Jenn Eder, PA-CNPI 1619593761
- Dennis Charles Flood, PANPI 1487093241
- Kate S Flood, PA-CNPI 1912148404
- Stephanie Guest, PANPI 1750861191
- Bryan K Hudson, PA-CNPI 1073600508
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.