Individual
DR. KATHY JOY KOWALKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
36500 AURORA DR. SUITE 430, AURORA MEDICAL CENTER, SUMMIT, WI 53066
(414) 454-6779
Mailing address
36500 AURORA DR. SUITE 430, AURORA MEDICAL CENTER, SUMMIT, WI 53066
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32114
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000219W
HUMANA
—
05
—
31746700
—
WI
Enumeration date
05/20/2006
Last updated
01/28/2010
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