Kathy Joy Kowalke, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

32114 Issued in WI

Practice address

36500 Aurora Dr. Suite 430
Aurora Medical Center
Summit, WI 53066

Phone

(414) 454-6779

NPI assigned

May 20, 2006

Last updated

Jan 28, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1407800774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36500 AURORA DR. SUITE 430",
            "address_2": "AURORA MEDICAL CENTER",
            "city": "SUMMIT",
            "state": "WI",
            "postal_code": "53066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36500 AURORA DR. SUITE 430",
            "address_2": "AURORA MEDICAL CENTER",
            "city": "SUMMIT",
            "state": "WI",
            "postal_code": "53066",
            "telephone_number": "414-454-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALKE",
        "first_name": "KATHY",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "32114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "002000219W",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31746700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noelle Klatt, RN
• Matthew Thomas Klinka
• Todd Koch, PA-C
• Simone Koester, APNP
• Brittany A Kosinski, DNP
• Alyssa Krause
• Steven Kreiter, PT
• Krishna Kumar, MD
• Jamie Kumbier, APNP
• Carol J Lagerman, APNP

• Psychiatry Physician in Summit, WI
• Providers in Summit, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.