| Doctor Name: | MS. KRISTIN J OVADAL |
| NPI Number: | 1063407930 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PAC |
| License Number: | 608023 |
| Business Practice Address: | 1504 S Commercial St Neenah, WI - 549564802 |
| Business Phone Number: | 9207296088 |
| Business Fax Number: | |
| Mailing Address: | 1504 S Commercial St, NEENAH |
| State: | WI |
| Postal Code: | 54956 |
| Phone Number: | 9209697723 |
| Fax Number: | |
| NPI Enumeration Date: | 09/15/2005 |
| NPI Last Update Date: | 03/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 608023 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |