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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. STEPHEN G KENNEBECK, PA-C

Active

MR. STEPHEN G KENNEBECK, PA-C is a Physician Assistant healthcare provider located in OSHKOSH, Wisconsin. NPI 1538169214 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · OSHKOSH, WI

Registration Details

NPI Number
1538169214
Provider Type
Individual
Gender
Male
NPI Issued
Jul 26, 2005 (20.90826666253 yrs)
Last Updated
Nov 26, 2021
License
1043 (WI)

Practice Information

Address
855 N WESTHAVEN DR
OSHKOSH, WI, 549047668
Browse WI providers · Browse ZIP 54904
Phone
9203038700
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in OSHKOSH, WI

Name Credential NPI
DANIEL HAFNER PA 1578563946
MR. MARC S JENNINGS PA-C 1144212994
JULIE K RIVERS PA-C 1518953843
SHERRI OLSON PA 1609858471
MARK R EVANS PA-C 1649205105
KENNETH VERNON SCHLICHTING PA 1588688295
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.