Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen A. Koth, DO

Individual provider Child & Adolescent Psychiatry Physician · NPI 1366572000

Kathleen A. Koth, DO is a Psychiatry in Milwaukee, Wisconsin. Graduated from Philadelphia College of Osteopathic Medicine in 2005, 21 years ago. Practices with Childrens Specialty Group Inc, a 213-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland and Wisconsin.

Years since qualifying
21
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
MD, WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

9000 W Wisconsin Ave Fifth Fl Ste 510
Milwaukee, WI 53226-4874
Phone: (414) 266-4920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 53989-021 (WI)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence H0065800 (MD)

Record details

NPI number1366572000
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 6, 2007
Last updated in NPPESApril 10, 2024
Certification dateApril 10, 2024
Mailing addressPo Box 1997, M5 B510, Milwaukee, WI 53201-1997

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2005 (21 years in practice)
Group practice Childrens Specialty Group Inc — 213 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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