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General NPI Number Information
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NPI Number | 1144628637
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Entity Type | Organization
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Legal Business Name | KINDER KARE SERVICES
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Dates
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Enumeration Date | 12/15/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5600 W BROWN DEER RD STE G2
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City | MILWAUKEE
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State | WI
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Zip | 53223-2346
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Country | US
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Telephone | 414-355-5446
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Fax | 414-355-5485
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Provider Business Mailing Address
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Address Line | 5600 W BROWN DEER RD STE G2
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City | MILWAUKEE
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State | WI
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Zip | 53223-2346
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Country | US
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Telephone | 414-355-5446
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Fax | 414-355-5485
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Authorized Official
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Title or Position | OWNER
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Name | KIMBA MCCAIN
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Credential | MD
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Telephone | 414-460-3660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State | WI
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