Provider Demographics
NPI:1356645659
Name:DAY MCAVOY, KATHLEEN (DC)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:
Last Name:DAY MCAVOY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:KATHLEEN
Other - Middle Name:GRACE
Other - Last Name:DAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:7000 S 76TH ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-9077
Mailing Address - Country:US
Mailing Address - Phone:414-525-9500
Mailing Address - Fax:414-525-0900
Practice Address - Street 1:7000 S 76TH ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-9077
Practice Address - Country:US
Practice Address - Phone:414-525-9500
Practice Address - Fax:414-525-0900
Is Sole Proprietor?:No
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4683-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor