Widnell, Katherine Laura

Widnell, Katherine Laura is an individual health care provider with primary practice located at 2625 W Alameda Ave Ste 322 , Burbank CA 91505-4822. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Widnell, Katherine Laura can be contacted via phone (818) 843-9043.

Contact Information

Primary practice address
2625 W Alameda Ave Ste 322 Burbank CA 91505-4822
Phone: (818) 843-9043
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X C141716 California

Profile Details

NPI number 1295777100
LBN Legal business name Widnell, Katherine Laura
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 6th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295777100 NPPES
Wisconsin MEDICAID 34632300

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