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Individual

KERRY KATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8905 W LINCOLN AVE STE 515, WEST ALLIS, WI 53227-2470
(414) 328-8650
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME132174
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021475800
FL
05
100081445
WI
Enumeration date
07/21/2009
Last updated
09/18/2024
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