Individual
DR. KATHRYN M. ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6652-15
WI
122300000X
Dentist
8520
KY
1223G0001X
General Practice Dentistry
6652-15
WI
Other
Enumeration date
05/10/2007
Last updated
04/15/2025
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