Provider Demographics
NPI:1942565981
Name:WILLIAMS, KATE D (DC)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:D
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KATE
Other - Middle Name:DANIELLE
Other - Last Name:HOHNBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2500 E ENTERPRISE AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54913
Mailing Address - Country:US
Mailing Address - Phone:920-419-4696
Mailing Address - Fax:920-375-5003
Practice Address - Street 1:2500 E ENTERPRISE AVE
Practice Address - Street 2:SUITE E
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54913
Practice Address - Country:US
Practice Address - Phone:920-419-4696
Practice Address - Fax:920-375-5003
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4899-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100023715Medicaid
WIWI2973001Medicare PIN