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Contact Information

POLLYANNA KABARA, PA-C
LAKESIDE PEDIATRICS
8600 75TH STREET
KENOSHA, WI53142
 Phone: 262-652-9430
 Fax: 262-652-9433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for POLLYANNA KABARA · (Female)

NPI # 1134173479
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/20/2006
Last updated 01/11/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1389
  • WI Medicaid 1134173479
  • Other 008006261X HUMANA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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