KRISTEN BROCKDORF, PA-C

Physician Assistant

Active Individual
NPI: 1558882555

Practice Address

2500 E CAPITOL DR
Appleton, WI 54911

Phone: (920) 364-3600

Specialties

Specialty Code Primary License
Specialist/Technologist, Pathology - Medical Technologist 246QM0706X No 249004 (WI)
Physician Assistant - Medical 363AM0700X No 404123 (WI)
Physician Assistant 363A00000X Yes 404123 (WI)

Frequently Asked Questions

NPI 1558882555 is the National Provider Identifier for KRISTEN BROCKDORF, PA-C, a Physician Assistant provider located in Appleton, WI. This NPI was enumerated on June 29, 2017.
KRISTEN BROCKDORF, PA-C practices at 2500 E CAPITOL DR, Appleton, WI 54911.

Quick Facts

NPI
1558882555
Type
Individual
Enumerated
Jun 29, 2017
Last Updated
Sep 8, 2022

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