Basic Information
Provider Information
NPI: 1730252131
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MILNER
FirstName: KAREN
MiddleName: K
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 25 KESSEL CT STE 105
Address2:  
City: MADISON
State: WI
PostalCode: 537116227
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 25 KESSEL CT STE 105
Address2:  
City: MADISON
State: WI
PostalCode: 537116227
CountryCode: US
TelephoneNumber: 6082802678
FaxNumber: 6082802705
Other Information
ProviderEnumerationDate: 11/16/2006
LastUpdateDate: 09/12/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X26155WIY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0804X26155WIN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry

No ID Information.


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