Individual
MISS KATHERINE ELIZABETH CROWNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
(920) 459-1145
Mailing address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
(920) 459-1145
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-005095
IL
363A00000X
Physician Assistant
268623
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100012075
—
WI
Enumeration date
10/13/2010
Last updated
11/29/2021
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