Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTEN JEANNE BROCKDORF, PA-C
ActivePhysician Assistant · APPLETON, WI
Registration Details
- NPI Number
- 1558882555
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 29, 2017 (8.8155665619809 yrs)
- Last Updated
- Sep 8, 2022
- Licenses
-
249004 (WI)404123 (WI)404123 (WI)
Practice Information
- Address
-
2500 E CAPITOL DRAPPLETON, WI, 549118735Browse WI providers · Browse ZIP 54911
- Phone
- 9203643600
- Fax
- 9203643900
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in APPLETON, WI
| Name | Credential | NPI |
|---|---|---|
| JENNIFER M MARSHALL | PAC | 1629078217 |
| ROBERT LEO DESJARDIN | PA | 1942292198 |
| JULIE A VAJDA | PAC | 1780677294 |
| MR. MICHAEL D ARIZOLA III | PAC | 1639163652 |
| THOMAS R WOODS | PA C | 1619962842 |
| JAMYE N MCGRAW | PA C | 1972598969 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.