| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KIMBERLEY M WELK | 1891967303 | 2008-03-25 |
Kimberley M Welk is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1891967303. Registration indicates Kimberley M Welk is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers) (Behavioral Health & Social Service Providers, Marriage & Family Therapist) (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Ms. Kimberley M Welk MFT |
| Other Provider Name | Kimberley M Stingley |
| Practice Office Address | 926 WILLARD DR STE 136 GREEN BAY, WI US |
| Practice Office Telephone | 9204615820 |
| Practice Office Fax | 8884496342 |
| Mailing Address | 3902 MILWAUKEE ST # W652 MADISON, WI 537075001 US |
| Business Telephone | 9204615820 |
| Business Fax | 8884496342 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2345 E Mason St | Green Bay, WI 543023764 | 9204698890 |
| 3902 Milwaukee St # W652 | Madison, WI 537075001 | 9205443684 / 8884496342 |
| Code | Practice | License No State |
|---|---|---|
| 106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 790-124
WI |
| 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | MBTMFT-10225
ID |
| 43732400 | MEDICAID | WI |