Healthcare Provider Details

I. General information

NPI: 1407885767
Provider Name (Legal Business Name): KIMBERLY A. HORSFALL D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KIMBERLY A. KIRCH D.C.

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 08/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S. JONES ST.
BARNEVELD WI
53507
US

IV. Provider business mailing address

101 S. JONES ST.
BARNEVELD WI
53507
US

V. Phone/Fax

Practice location:
  • Phone: 608-924-2424
  • Fax: 608-924-2425
Mailing address:
  • Phone: 608-924-2424
  • Fax: 608-924-2425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3813012
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3813-12
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: