AUSTIN GRAHAM KENNEBECK

ROCKFORD, IL
NPI1376371765
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-07-25
Last Update Date2024-08-05
Business Address
AUSTIN GRAHAM KENNEBECK PA-C
1401 E STATE ST
ROCKFORD, IL 61104-2315
Phone number: 779-696-4400
Mailing Address
AUSTIN GRAHAM KENNEBECK PA-C
1838 WESTBREEZE DR
OSHKOSH, WI 54904-8877
Phone number: 920-279-1865
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