Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH JOSEPH PECHMAN, M.D.
DeactivatedDR. KENNETH JOSEPH PECHMAN, M.D. is a Dermatology healthcare provider located in GREEN BAY, Wisconsin. NPI 1417956525 is deactivated in the NPPES registry. Verify at CMS.
Dermatology · GREEN BAY, WI
This NPI has been deactivated.
The record was deactivated on March 20, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1417956525
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2005 (0.66575342465753 yrs)
- Last Updated
- Apr 12, 2025
- Deactivated
- Mar 20, 2006
- Licenses
-
24239020 (WI)24239020 (WI)
Practice Information
- Address
-
2806 RIVERVIEW DRGREEN BAY, WI, 543136717Browse WI providers · Browse ZIP 54313
- Phone
- 9204987546
- Fax
- 9205694129
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| PAUL MICHAEL STOVER | MD | 1548264336 |
| DR. KOLLEEN L ZIMMERMANN | M.D. | 1619981164 |
| FRANCES STAHL BALLO | MD | 1013022292 |
| DR. RENE MARTIN EARLES | MD | 1609946292 |
| DR. SEMYON ZARKHIN | MD | 1821298324 |
| EDUARDO K MOIOLI | — | 1154697274 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.