Provider Demographics
NPI:1750478624
Name:FORAN, KATHERINE A (RPSGT)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:A
Last Name:FORAN
Suffix:
Gender:F
Credentials:RPSGT
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Other - Credentials:
Mailing Address - Street 1:630 N 4TH STREET
Mailing Address - Street 2:APT 820
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53203
Mailing Address - Country:US
Mailing Address - Phone:262-358-2319
Mailing Address - Fax:
Practice Address - Street 1:11649 N PORT WASHINGTON
Practice Address - Street 2:ENDEAVOR TESTING CENTER
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092
Practice Address - Country:US
Practice Address - Phone:262-241-8022
Practice Address - Fax:262-241-8047
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic