Gannon-Loew, Kathryn E

Gannon-Loew, Kathryn E is an sole proprietor health care provider with primary practice located at 2880 University Ave , Madison WI 53705-3644. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Gannon-Loew, Kathryn E can be contacted via phone (608) 263-6421.

Contact Information

Primary practice address
2880 University Ave Madison WI 53705-3644
Phone: (608) 263-6421
Fax: (608) 263-6547
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 35.126176 Ohio
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 61745-20 Wisconsin

Profile Details

NPI number 1801154000
LBN Legal business name Gannon-Loew, Kathryn E
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2012
Last updated Jul 3rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801154000 NPPES
Ohio MEDICAID 0133627

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