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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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 1366572000 NPPES
Wisconsin MEDICAID 1366572000

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