Provider Demographics
NPI:1245482975
Name:SANDOE, KRISTEN KURATNICK (MS, DO)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:KURATNICK
Last Name:SANDOE
Suffix:
Gender:F
Credentials:MS, DO
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:L
Other - Last Name:KURATNICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:855 N WESTHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54904-7668
Mailing Address - Country:US
Mailing Address - Phone:920-303-3266
Mailing Address - Fax:920-456-5590
Practice Address - Street 1:855 N WESTHAVEN DR
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54904
Practice Address - Country:US
Practice Address - Phone:920-303-3266
Practice Address - Fax:920-456-5590
Is Sole Proprietor?:No
Enumeration Date:2008-10-13
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT012131207X00000X
WI60498207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery