TISHA M KENNEBECK

OSHKOSH, WI
NPI1710094248
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  1085-023)
Enumeration Date2006-08-23
Last Update Date2025-11-11
Business Address
Ms. TISHA M KENNEBECK PA-C
414 DOCTORS CT
OSHKOSH, WI 54901
Phone number: 920-303-8700
Mailing Address
Ms. TISHA M KENNEBECK PA-C
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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