Search › Wisconsin › 171M00000X
Athena Korth
NPI 1871943043 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3631 W Brown St
Milwaukee, WI 53208 - Phone
- (305) 988-5199
- Organisation at this address
- Jades Community Outreach Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin