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Provider Information for 1285387142


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KATHRYN A OPFER APSW


Other Names:  
Former Name: 
KATHRYN A KRAUTER

Sex: Female

NPI: 1285387142
Last Updated: 2024-02-29
Certification Date: 2022-03-24

Details

NameValue
NPI1285387142
Enumeration Date2022-02-01
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 320 S WALNUT ST
APPLETON, WI 54911-5918
United States

Phone: 920-832-5270 | Fax:920-832-4767
 
Primary Practice Address 320 S WALNUT ST
APPLETON, WI 54911-5918
United States

Phone: 920-832-5270 | Fax:920-832-4767
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDWI100192958
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalWI11560123
No 104100000X - Social Worker WI129039