Russeth, Kathy J

Russeth, Kathy J is an individual health care provider with primary practice located at 345 W Washington Ave Ste 307 , Madison WI 53703-6019. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Russeth, Kathy J can be contacted via phone (414) 395-5435.

Contact Information

Primary practice address
345 W Washington Ave Ste 307 Madison WI 53703-6019
Phone: (414) 395-5435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 49950-020 Wisconsin
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 49950-020 Wisconsin

Profile Details

NPI number 1275692030
LBN Legal business name Russeth, Kathy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2006
Last updated Jul 5th, 2023 - about 3 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 1275692030 NPPES
Wisconsin Other 1275692030 MEDICARE/MEDICAID FOR GENERAL PRACTICE SERVICES

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