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Kristen Jeanne Brockdorf, PA-C
Physician Assistant in Appleton, Wisconsin
NPI 1558882555

Kristen Jeanne Brockdorf is a Physician Assistant based in Appleton, WI. Kristen Jeanne Brockdorf practices in Appleton, WI and has the professional credentials of PA-C. The NPI Number for Kristen Jeanne Brockdorf is 1558882555 and holds a License No. 249004 (Wisconsin).

The current practice location address for Kristen Jeanne Brockdorf is 2500 E Capitol Dr, Appleton, WI and can be reached out via phone at 920-364-3600 and via fax at 920-364-3900.

Location: 2500 E Capitol Dr, Appleton, WI, 54911-8735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558882555
Provider Name
Kristen Jeanne Brockdorf
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2500 E Capitol Dr, Appleton, WI, 54911-8735
Phone Number
920-364-3600
Fax Number
920-364-3900
Provider Enumeration Date
06/29/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2500 E Capitol Dr
City
Appleton
State
Wisconsin
Zip
54911-8735
Phone Number
920-364-3600
Fax Number
920-364-3900
person
Provider Business Mailing Address Details
Address
2500 E Capitol Dr
City
Appleton
State
Wisconsin
Zip
54911-8735
Phone Number
920-364-3600
Fax Number
920-364-3900
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Pathology
Speciality
Medical Technologist
Taxonomy
246QM0706X
License No.
404123 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
404123 (Wisconsin)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
249004 (Wisconsin)
Definition
Definition to come...
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