Provider Demographics
NPI:1205727187
Name:KENT, CATHERINE JOSEPHINE (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:JOSEPHINE
Last Name:KENT
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:2829 WILLARD LN
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-1391
Mailing Address - Country:US
Mailing Address - Phone:262-894-6350
Mailing Address - Fax:
Practice Address - Street 1:1111 DELAFIELD ST STE 120
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-3402
Practice Address - Country:US
Practice Address - Phone:262-544-4411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant