NPI 1083195580

Kathryn a Mahoney, PAC

Practitioner Physician Assistant Pleasant Prairie, WI

Practice location

Address: 9555 76th St # 1200, Pleasant Prairie, WI 53158-1984
Phone: (262) 671-7300
Fax: (262) 671-7315
Mailing address: 111 E Wisconsin Ave STE 2000, Milwaukee, WI 53202-4809

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085010142 (IL)

Other Physician Assistant providers in Wisconsin →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 4512-23 (WI)

Registry record

NPI: 1083195580
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Aug 2018
Record last updated: 4 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.