Kathleen Lynn Bobay, RN, PhD
Registered Nurse, General Practice in Pewaukee, WI. Individual provider (NPI-1).
NPI number1790789063
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1790789063
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Lynn Bobay
- Credential
- RN, PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2005
- Last updated
- Jul 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 146404030 | WI | Yes |
| 163WG0000X | Registered Nurse, General Practice | 4704135541 | MI |
Practice location
668 Westfield WayApt C
Pewaukee, WI 53072-6547
Phone 262-695-0545
Mailing address
668 Westfield WayApt C
Pewaukee, WI 53072-6547
Phone 262-695-0545
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