Kati L Havel, DC
Individual provider Active NPI Chiropractor · Woodruff, WI
NPI 1336294669 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1336294669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3912-012 (WI)
- Practice address
- 521 Hemlock St.
Woodruff, WI 54568 - Phone
- (715) 358-6650
- Fax
- (715) 358-6381
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3912-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krsko Chiropractic S.C. | Chiropractor | Past |
Accepting new patients |
| McAvoy Chiropractic, LLC | Chiropractor | Past |
Accepting new patients |
| North Country Chiropractic & Wellness LLC | Chiropractor | Past | Accepting new patients |
| North Country Chiropractic, S.C. | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3912-012 | WI | Yes |
Addresses
Primary practice location
521 Hemlock St.
Woodruff, WI 54568
Mailing address
P.O. Box 2195
521 Hemlock St
Woodruff, WI 54568
Phone (715) 358-6650
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38965900 | Medicaid | WI |
Other providers in Woodruff, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.