Healthcare Provider Details

I. General information

NPI: 1891752184
Provider Name (Legal Business Name): KATHRYN A CAHILL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 01/16/2020
Certification Date: 01/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 W WASHINGTON AVE SUITE 100
MADISON WI
53706-2701
US

IV. Provider business mailing address

4410 REGENT ST
MADISON WI
53705-4901
US

V. Phone/Fax

Practice location:
  • Phone: 608-417-8300
  • Fax: 608-417-8301
Mailing address:
  • Phone: 608-233-9746
  • Fax: 608-236-1981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number50301
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: