Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 54085 | WI |
Y | 207RH0003X | Hematology & Oncology | 54085 | WI |
NPI | 1386890978 |
---|---|
Provider Name | Vaishalee Padgaonkar Kenkre |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2008 |
Last Update Date | 02/02/2021 |