Provider Demographics
NPI:1982493185
Name:BEUERMAN, KIM (BCC CHAPLAIN)
Entity type:Individual
Prefix:
First Name:KIM
Middle Name:
Last Name:BEUERMAN
Suffix:
Gender:F
Credentials:BCC CHAPLAIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4122 MEYER AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-1621
Mailing Address - Country:US
Mailing Address - Phone:608-239-2193
Mailing Address - Fax:
Practice Address - Street 1:4122 MEYER AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-1621
Practice Address - Country:US
Practice Address - Phone:608-239-2193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No385H00000XRespite Care FacilityRespite Care