NPI 1114774353

Kymm Ann Wallin

Practitioner Advanced Practice Midwife Madison, WI

Practice location

Address: 2402 Winnebago St, Madison, WI 53704-5341
Phone: (608) 242-6840
Fax: (608) 245-6117
Mailing address: 7974 Uw Health CT, Middleton, WI 53562-5531

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 150068 (WI)

Other Advanced Practice Midwife providers in Wisconsin →

Registry record

NPI: 1114774353
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 May 2024
Record last updated: 18 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.