Kenyette B Blue

NPI #1659024628 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1659024628
Entity Type: Individual
Name: Kenyette B Blue
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Management
Enumeration Date: Jan 31, 2022
Last Updated: Jan 31, 2022

Practice Location

Address: 1526 W NORTH AVE
City: Milwaukee
State: Wisconsin
ZIP Code: 53205-1237
Phone: (414) 510-7068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X
Case Management	251B00000X	Primary

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