Korth, Kathryn Ann
Korth, Kathryn Ann is an individual health care provider with primary practice located at 1000 W Northland Ave Shopko Optical, Appleton WI 54914-1419. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Korth, Kathryn Ann can be contacted via phone (920) 731-4511.Contact Information
Primary practice address
1000 W Northland Ave Shopko Optical
Appleton WI 54914-1419
Phone: (920) 731-4511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2441 | Wisconsin |
Profile Details
| NPI number | 1881646636 |
|---|---|
| LBN Legal business name | Korth, Kathryn Ann |
| Credentials | O.D., F.A.A.O. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1881646636 | NPPES |
| Wisconsin | MEDICAID | 38586100 |
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