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 Date2023-03-07
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
3301 W FOREST HOME AVE
MILWAUKEE, WI 53215-2843
Phone number: 414-647-6326
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