Provider Demographics
NPI:1720044696
Name:ORIEL, KATHY A (MD)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:A
Last Name:ORIEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5231 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-1361
Mailing Address - Country:US
Mailing Address - Phone:608-238-0100
Mailing Address - Fax:608-238-7550
Practice Address - Street 1:5231 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-1361
Practice Address - Country:US
Practice Address - Phone:608-238-0100
Practice Address - Fax:608-238-7550
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI36704207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine