White, Kathleen Elizabeth

White, Kathleen Elizabeth is an individual health care provider with primary practice located at 6790 W. Layton Ave , Greenfield WI 53220. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is her primary health care specialty. White, Kathleen Elizabeth can be contacted via phone (414) 282-3100.

Contact Information

Primary practice address
6790 W. Layton Ave Greenfield WI 53220
Phone: (414) 282-3100
Fax: (414) 282-3101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X

Profile Details

NPI number 1871061069
LBN Legal business name White, Kathleen Elizabeth
Credentials C.P.O
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2018
Last updated Nov 6th, 2018 - about 8 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 1871061069 NPPES
Wisconsin MEDICAID 100027871

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