Koch, Kathryn L

Koch, Kathryn L is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Hematology/Oncology, Milwaukee WI 53226-4874. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Koch, Kathryn L can be contacted via phone (414) 456-4170.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Hematology/Oncology Milwaukee WI 53226-4874
Phone: (414) 456-4170
Fax: (414) 805-1514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2213-033 Wisconsin

Profile Details

NPI number 1740231588
LBN Legal business name Koch, Kathryn L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Oct 1st, 2020 - about 6 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 1740231588 NPPES
Other 009000261T HUMANA
MEDICAID 1740231588 HUMANA

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