Search › Wisconsin › 363A00000X
Kristen Brockdorf, PA-C
NPI 1558882555 · on the registry since 2017
Practice
- Address
- 2500 E Capitol Dr
Appleton, WI 54911 - Phone
- (920) 364-3600
- Fax
- (920) 364-3900
- Organisation at this address
- Morton Drug Co Inc
Valley Urologic Associates
Fox Valley Pulmonary Medicine, Llc
Fox Valley Pulmonary Medicine, S.C.
Radiology Associates Of Appleton, S.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 129
Additional practice sites
- 1818 N Meade St, Appleton, WI
- 130 2nd St, Neenah, WI
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 246QM0706X
363AM0700X - Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin