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NPI Code Detail

MEDICARE: KATHRYN DOERNER DO

MEDICARE: KATHRYN DOERNER DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianMN
2208000000XPediatrics Physician101080WI

General Provider Information

NPI Number : 1952951188
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN DOERNER DO
Provider Business Mailing Address
First Line : 600 HIGHLAND AVE
Second Line :
City : MADISON
State : WI
Zip : 53792-0001
Country : US
Telephone Number : 608-263-6400
Fax Number :
Provider Business Practice Location Address
First Line : 600 HIGHLAND AVE
Second Line :
City : MADISON
State : WI
Zip : 53792-1465
Country : US
Telephone Number : 608-263-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2019
Last Update Date : 07/15/2024

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Directions to “ KATHRYN DOERNER DO” Practice Location

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