Kusiv, Kathlene A

Kusiv, Kathlene A is an individual health care provider with primary practice located at 1537 Park Pl Ste 200 , Green Bay WI 54304-1974. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kusiv, Kathlene A can be contacted via phone (920) 498-8650.

Contact Information

Primary practice address
1537 Park Pl Ste 200 Green Bay WI 54304-1974
Phone: (920) 498-8650
Fax: (920) 498-0945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 33267-021 Wisconsin

Profile Details

NPI number 1073522637
LBN Legal business name Kusiv, Kathlene A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Nov 2nd, 2010 - about 14 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 1073522637 NPPES
Wisconsin MEDICAID 31862800
Wisconsin Other 33287

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