BEVERLY A. KIMBALL PA-C
NPI 1245293463
Physician Assistant in Rice Lake, WI

Active since April 10, 2006
1700 W STOUT ST, RICE LAKE, WI 54868(715) 236-8100 Get Directions Write a Review

NPPES record last updated: July 7, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beverly A. Kimball Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY A. KIMBALL PA-C (NPI 1245293463) is an individual physician assistant in Rice Lake, Wisconsin, licensed in Wisconsin (225-023) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1245293463
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBEVERLY A. KIMBALLCredential: PA-C
Location Address1700 W STOUT STRice Lake, WI 54868-5000
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateJuly 7, 2010
NPI 1245293463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 225-023
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 8905 (MN)
1700 W STOUT ST, Rice Lake, WI 54868

Other Names 1

Former Name (1)Beverly Ann Frye-freeman Pa-c

Other Identifiers 4

Medicare UPINS57066
Medicaid843159100MN
Medicare ID-Type Unspecified970000456
Medicaid41935200WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
1700 W STOUT ST
RICE LAKE, WI 54868
Physician Assistant
1700 W STOUT ST
RICE LAKE, WI 54868
Family Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Obstetrics & Gynecology
1700 W STOUT ST
RICE LAKE, WI 54868
Occupational Therapist
1700 W STOUT ST
RICE LAKE, WI 54868
Nurse Practitioner (Family)
1700 W STOUT ST
RICE LAKE, WI 54868
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1700 W STOUT ST
RICE LAKE, WI 54868
Emergency Medicine
1700 W STOUT ST
RICE LAKE, WI 54868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Kimball's NPI number?

The NPI number for Beverly Kimball is 1245293463. It was assigned to this individual provider in the NPPES registry on April 10, 2006. The provider is also known as Beverly Ann Frye-Freeman Pa-C.

Where is Beverly Kimball located?

Beverly Kimball practices at 1700 W Stout St, Rice Lake, WI 54868. The listed phone number is (715) 236-8100.

What is Beverly Kimball's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Beverly Kimball was last updated on July 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.