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Dr. Kevin L Mortara

Hematology & Oncology

1580 Commanche Ave
Green Bay , Wisconsin 54313-5751

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Dr. Kevin L Mortara

Hematology & Oncology

1580 Commanche Ave
Green Bay , Wisconsin 54313-5751

(920) 430-4659

Write a Review Save Call

Dr. Kevin L Mortara

Hematology & Oncology

1580 Commanche Ave
Green Bay , Wisconsin 54313-5751

(920) 430-4659 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Hematology & Oncology

Languages spoken

  • English

Location

1580 Commanche Ave Green Bay , Wisconsin 54313-5751

First Address

  • Dr. Kevin L Mortara
  • 1580 Commanche Ave
  • Green Bay, WI
  • Zip : 54313-5751
  • Fax : (920) 430-4659
  • Phone : (920) 435-8326

Second Address

  • Dr. Kevin L Mortara
  • 1580 Commanche Ave
  • Green Bay, WI
  • Zip : 54313-5751
  • Fax : (920) 430-4659
  • Phone : (920) 435-8326

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FAQs


Where did Dr. Kevin L Mortara attend graduate school?

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Where did Dr. Kevin L Mortara do his residency?

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Where did Dr. Kevin L Mortara do his fellowship?

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Is Dr. Kevin L Mortara board certified?

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What type of doctor is Dr. Kevin L Mortara

Hematology & Oncology

In what state does Dr. Kevin L Mortara practice in?

Wisconsin

Where is Dr. Kevin L Mortara ’s practice located?

1580 Commanche Ave , Green Bay, Wisconsin, 54313-5751

What is Dr. Kevin L Mortara ’s gender?

Male

Is Dr. Kevin L Mortara a sole practitioner?

No

Is Dr. Kevin L Mortara accepting new patients?

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What languages does Dr. Kevin L Mortara speak?

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Does Dr. Kevin L Mortara accept insurance?

Yes, Dr. Kevin L Mortara accepts insurance

Does Dr. Kevin L Mortara offers telemedicine?

Dr. Kevin L Mortara has not indicated if he offers telemedicine

What is Dr. Kevin L Mortara ’s professional license number?

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What is Dr. Kevin L Mortara ’s NPI number?

1033109210

Does Dr. Kevin L Mortara have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207RH0003X Hematology & Oncology 48997-20 WI

National Provider Identifier

NPI 1033109210
Provider Name Dr. Kevin L Mortara
First Address Green Bay, WI 54313-5751
Second Address Green Bay, WI 54313-5751
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 27/10/2005
Last Update Date 12/06/2014

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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