Mortara, Kevin L

Mortara, Kevin L is an individual health care provider with primary practice located at 1580 Commanche Ave , Green Bay WI 54313-5751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Mortara, Kevin L can be contacted via phone (920) 435-8326.

Contact Information

Primary practice address
1580 Commanche Ave Green Bay WI 54313-5751
Phone: (920) 435-8326
Fax: (920) 430-4659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 48997-20 Wisconsin

Profile Details

NPI number 1033109210
LBN Legal business name Mortara, Kevin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jun 12th, 2014 - about 12 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.

Request for update

Popular Providers