Koth, Kathleen A.
Koth, Kathleen A. is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Fifth Floor, Suite 510, Milwaukee WI 53226-4874. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Koth, Kathleen A. can be contacted via phone (414) 266-4920.Contact Information
Primary practice address
9000 W Wisconsin Ave Fifth Floor, Suite 510
Milwaukee WI 53226-4874
Phone: (414) 266-4920
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 53989-021 | Wisconsin |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | H0065800 | Maryland |
Profile Details
| NPI number | 1366572000 |
|---|---|
| LBN Legal business name | Koth, Kathleen A. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Apr 10th, 2024 - about last year |
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 | 1366572000 | NPPES |
| Wisconsin | MEDICAID | 1366572000 |
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