| K Bare LLC | |
|
2916 Marketplace Drive Suite 208 Fitchburg WI 53719-5325 | |
| (608) 909-1158 | |
| (920) 541-3678 |
| Full Name | K Bare LLC |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2916 Marketplace Drive, Fitchburg, Wisconsin |
| Authorized Official Name and Position | Karilin a Bare (SOLE PROPRIETOR, OWNER) |
| Authorized Official Contact | 6089091158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| K Bare LLC 693 Prisk Street Belleville WI 53508 Ph: (608) 909-1158 | K Bare LLC 2916 Marketplace Drive Suite 208 Fitchburg WI 53719-5325 Ph: (608) 909-1158 |
| NPI Number | 1063991032 |
|---|---|
| Provider Enumeration Date | 08/10/2018 |
| Last Update Date | 01/02/2026 |
| Certification Date | 01/02/2026 |
| Medicare PECOS PAC ID | 2264919471 |
|---|---|
| Medicare Enrollment ID | O20260120001082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063991032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Wisconsin) | Primary |
| Provider Name | Karilin a Bare |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689010175 PECOS PAC ID: 5991158891 Enrollment ID: I20240126002829 |
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