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NPI Code Detail

MEDICARE: DR. PATRICK R KAUL DDS

MEDICARE: DR. PATRICK R KAUL DDS
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
11223G0001XGeneral Practice Dentistry5531-015WI

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 : 1285679944
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK R KAUL DDS
Provider Business Mailing Address
First Line : 2100 MILLER PARK WAY
Second Line :
City : WEST MILWAUKEE
State : WI
Zip : 53219-1641
Country : US
Telephone Number : 414-645-4540
Fax Number :
Provider Business Practice Location Address
First Line : 2100 MILLER PARK WAY
Second Line :
City : WEST MILWAUKEE
State : WI
Zip : 53219-1641
Country : US
Telephone Number : 414-645-4540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 03/30/2020

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