Provider Demographics
NPI:1972979235
Name:DENNEY, KATHRYN (DNP)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:DENNEY
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 W ASSOCIATION DR
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54914-1495
Mailing Address - Country:US
Mailing Address - Phone:920-831-1909
Mailing Address - Fax:
Practice Address - Street 1:419 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:COMBINED LOCKS
Practice Address - State:WI
Practice Address - Zip Code:54113-1049
Practice Address - Country:US
Practice Address - Phone:920-423-4192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-20
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6522363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily