IndividualActive
Kathleen Koth, DO
NPI 1366572000 · Child & Adolescent Psychiatry Physician · Milwaukee, WI
Provider details
- NPI number
- 1366572000
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 53989-021 (WI)
Practice location
9000 W Wisconsin Ave
Fifth Floor, Suite 510
Milwaukee, WI 53226-4874
Phone: (414) 266-4920
Mailing address
Po Box 1997
Milwaukee, WI 53201-1997
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2024-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.