Individual provider · Type 1 NPI

Kimberly Kopischke

Registered Nurse · Madison Lake, MN

NPI number 1831015072 Active

Practice location

705 Spruce Ave
Madison Lake, MN 56063-2038

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X2138860 (MN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

About NPI 1831015072

Kimberly Kopischke's National Provider Identifier is 1831015072, issued on Jun 24, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Madison Lake, MN. The record was last updated on Jun 24, 2026.