Individual provider · Type 1 NPI

Kathleen M. Ewanowski, PA-C

Surgical Physician Assistant · Madison, WI

NPI number 1639698095 Active

Practice location

600 Highland Ave
Madison, WI 53792-0001

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Other practice locations

  • 50 N Medical Dr, Salt Lake City, UT 84132-0001 · (801) 581-2121

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1639698095

Kathleen M. Ewanowski, PA-C's National Provider Identifier is 1639698095, issued on Sep 15, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Madison, WI. The record was last updated on Jul 7, 2025.