Individual
KAVITA KANWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-5695
(608) 417-5890
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-3886
(608) 417-3878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
76766
WI
Other
Enumeration date
04/11/2020
Last updated
08/04/2023
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