KIMBERLY A MCCLAIN 311760-31
NPI 1265734032
Licensed Practical Nurse in Racine, WI

Active since November 29, 2010
1504 OWEN AVE, RACINE, WI 53403(262) 412-4301 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About KIMBERLY MCCLAIN

This page provides the complete NPI Profile along with additional information for Kimberly Mcclain, a provider established in Racine, Wisconsin with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1265734032 assigned on November 2010. The practitioner's primary taxonomy code is 164W00000X with license number 311760-31 (WI). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1265734032 Verify this NPI
Provider Name
KIMBERLY A MCCLAIN 311760-31
Gender
Female
Entity Type
Individual
Location Address
1504 OWEN AVE RACINE, WI 53403
Location Phone
(262) 412-4301
Mailing Address
1504 OWEN AVE RACINE, WI 53403
Mailing Phone
(262) 412-4301
Is Sole Proprietor?
Yes
Enumeration Date
11-29-2010
Last Update Date
11-29-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
311760-31
License State
WI
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265734032, enumerated as an "individual" on November 29, 2010.

The provider is located at 1504 OWEN AVE RACINE, WI 53403 and the phone number is (262) 412-4301.

Licensed Practical Nurse with taxonomy code 164W00000X.