Provider Demographics
NPI:1063535326
Name:CRONSELL, KIMBERLY ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ANNE
Last Name:CRONSELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:KIMBERLY
Other - Middle Name:ANNE
Other - Last Name:GRAFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7322 W RAWSON AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-8104
Mailing Address - Country:US
Mailing Address - Phone:414-433-9010
Mailing Address - Fax:414-433-9007
Practice Address - Street 1:7322 W RAWSON AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-8104
Practice Address - Country:US
Practice Address - Phone:414-433-9010
Practice Address - Fax:414-433-9007
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI52554-020208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics