Basic Information
| Provider Information | |||||||||
| NPI: | 1891752184 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CAHILL | ||||||||
| FirstName: | KATHRYN | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4410 REGENT ST | ||||||||
| Address2: | |||||||||
| City: | MADISON | ||||||||
| State: | WI | ||||||||
| PostalCode: | 537054901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6082339746 | ||||||||
| FaxNumber: | 6082361981 | ||||||||
| Practice Location | |||||||||
| Address1: | 345 W WASHINGTON AVE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | MADISON | ||||||||
| State: | WI | ||||||||
| PostalCode: | 537062701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6084178300 | ||||||||
| FaxNumber: | 6084178301 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/28/2006 | ||||||||
| LastUpdateDate: | 01/16/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/16/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 50301 | WI | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.