Provider Demographics
NPI:1104223965
Name:KARNOLD-LYNCH, KATHRYN (CAPSW)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:
Last Name:KARNOLD-LYNCH
Suffix:
Gender:F
Credentials:CAPSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 W WELLS ST
Mailing Address - Street 2:SUITE 700
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53203-1830
Mailing Address - Country:US
Mailing Address - Phone:414-347-1774
Mailing Address - Fax:414-347-0148
Practice Address - Street 1:135 W WELLS ST
Practice Address - Street 2:SUITE 700
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53203-1830
Practice Address - Country:US
Practice Address - Phone:414-347-1774
Practice Address - Fax:414-347-0148
Is Sole Proprietor?:No
Enumeration Date:2014-11-21
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1292631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical