STEPHEN G KENNEBECK

OSHKOSH, WI
NPI1538169214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  1043)
Enumeration Date2005-07-26
Last Update Date2021-11-26
Business Address
Mr. STEPHEN G KENNEBECK PA-C
855 N WESTHAVEN DR
OSHKOSH, WI 54904-7668
Phone number: 920-303-8700
Mailing Address
Mr. STEPHEN G KENNEBECK PA-C
855 N WESTHAVEN DR
OSHKOSH, WI 54904-7668
Phone number: 920-303-8786
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