Kathleen K Shanovich in Madison - Pediatrics

Kathleen K Shanovich - NPI 1760459929

Kathleen K Shanovich is a Pediatrics in Madison, Wisconsin. Kathleen K Shanovich practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kathleen K Shanovich is 1760459929. The last update date is 2009-04-30.

Kathleen K Shanovich's current location address is 600 Highland Ave, Madison, Wisconsin. You can contact this provider via phone number 6082636420 and fax number 6082639103. The mailing address for Kathleen K Shanovich is 600 Highland Ave, Madison, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen K Shanovich
Address 600 Highland Ave, Madison, Wisconsin
Phone Number 6082636420
Fax Number 6082639103
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1760459929
Provider Enumeration Date 2006-03-07
Last Updated Date 2009-04-30

Provider Mailing Address Detail

Address 600 Highland Ave
City Madison
State Wisconsin (WI)
Post Code 53792
Phone Number 6082636420
Fax Number 6082639103

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 1186
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

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FAQs about Kathleen K Shanovich

What is the Kathleen K Shanovich's 1760459929?

The Kathleen K Shanovich's NPI (National Provider Identifier) Number is 1760459929. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Kathleen K Shanovich is physically located?

The Kathleen K Shanovich is situated at the following address: 600 Highland Ave, Madison, WI 53792.

What is Kathleen K Shanovich's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kathleen K Shanovich's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 363Lp0200X.

On what date did the Centers for Medicare & Medicaid Services assign the 1760459929 to Kathleen K Shanovich?

The Centers for Medicare & Medicaid Services assigned the 1760459929 to Kathleen K Shanovich on 2006-03-07.

When was the information regarding Kathleen K Shanovich most recently updated?

The details pertaining to the Kathleen K Shanovich, including its address, specialty, and other relevant information, were last refreshed on 2009-04-30.

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