Doctor Name: | DR. MICHAEL EDWARD KOKAT |
NPI Number: | 1780607200 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | |
Business Practice Address: | 733 N Pine St Burlington, WI - 531051473 |
Business Phone Number: | 2623082303 |
Business Fax Number: | 2627638184 |
Mailing Address: | Po Box 204, KENOSHA |
State: | WI |
Postal Code: | 531410204 |
Phone Number: | 2623082303 |
Fax Number: | 2627638184 |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 02/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |