Doctor Name: | KIM C MACKEY |
NPI Number: | 1285603431 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 43887 |
Business Practice Address: | 1400 Eastside Rd Platteville, WI - 538189800 |
Business Phone Number: | 6083482331 |
Business Fax Number: | |
Mailing Address: | 1400 Eastside Rd, PLATTEVILLE |
State: | WI |
Postal Code: | 538189800 |
Phone Number: | 6083482331 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2006 |
NPI Last Update Date: | 02/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 43887 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |