MR. Stephen G Kennebeck, PA-C

NPI #1538169214 in Oshkosh, Wisconsin

Provider Information

NPI Number: 1538169214
Entity Type: Individual
Name: MR. Stephen G Kennebeck, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 26, 2005
Last Updated: Nov 26, 2021

Practice Location

Address: 855 N WESTHAVEN DR
City: Oshkosh
State: Wisconsin
ZIP Code: 54904-7668
Phone: (920) 303-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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