Provider Demographics
NPI:1942596408
Name:BOS, KARA TWEADEY (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:TWEADEY
Last Name:BOS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 W 9TH AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54904-7869
Mailing Address - Country:US
Mailing Address - Phone:920-223-0220
Mailing Address - Fax:
Practice Address - Street 1:2700 W 9TH AVE STE 230
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54904-7869
Practice Address - Country:US
Practice Address - Phone:920-223-0220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI68219-20207V00000X
IL125059936207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology