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

Individual provider Nurse Practitioner · NPI 1215278221

Kathryn M Dvorak, GCNSAPNP is a Nurse Practitioner in Waukesha, Wisconsin. Qualified in 2012, 14 years ago. Practices with Cary J Kohlenberg MD SC, a 10-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2013
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Practice location Address checks out

2717 N Grandview Blvd Ste 202
Waukesha, WI 53188-1672
Phone: (262) 513-0700
Fax: (262) 513-0707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5248-33 (WI)

Record details

NPI number1215278221
Entity typeIndividual (Type 1)
GenderFemale
Credentials GCNSAPNP
Sole proprietorNo
NPI enumeratedMarch 15, 2013
Last updated in NPPESMarch 15, 2013

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Cary J Kohlenberg Md Sc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Waukesha