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NPI Code Detail

MEDICARE: KATHLEEN N HIPKE PHD

MEDICARE: KATHLEEN N HIPKE PHD
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
1103T00000XPsychologist2462-057WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215905476
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN N HIPKE PHD
Provider Business Mailing Address
First Line : 7974 UW HEALTH CT
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6001 RESEARCH PARK BLVD
Second Line :
City : MADISON
State : WI
Zip : 53719-1176
Country : US
Telephone Number : 608-232-3171
Fax Number : 608-262-9246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 11/17/2021

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Directions to “ KATHLEEN N HIPKE PHD” Practice Location

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