Katz, Kenneth Henry
Katz, Kenneth Henry is an individual health care provider with primary practice located at 1515 Randolph Ct , Manitowoc WI 54220-8345. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Katz, Kenneth Henry can be contacted via phone (920) 683-5278.Contact Information
Primary practice address
1515 Randolph Ct
Manitowoc WI 54220-8345
Phone: (920) 683-5278
Fax: (920) 686-9674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 39233020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 39233020 | Wisconsin |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 39233020 | Wisconsin |
Profile Details
| NPI number | 1134162019 |
|---|---|
| LBN Legal business name | Katz, Kenneth Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134162019 | NPPES |
| Wisconsin | Other | 39233-020 | STATE LICENSE |
| Wisconsin | MEDICAID | 32579200 | STATE LICENSE |
| Wisconsin | Other | O70016217 | STATE LICENSE |
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