Provider Demographics
NPI:1861660128
Name:MCCANN, KATE E (DC)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:E
Last Name:MCCANN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KATE
Other - Middle Name:E
Other - Last Name:BENDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1675 N BARKER RD STE A
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53045-5200
Mailing Address - Country:US
Mailing Address - Phone:262-782-9700
Mailing Address - Fax:262-782-9702
Practice Address - Street 1:1675 N BARKER RD STE A
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045-5200
Practice Address - Country:US
Practice Address - Phone:262-782-9700
Practice Address - Fax:262-782-9702
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4340-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor