KENNETH JENKS

KENOSHA, WI
NPI1902924707
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy282N00000X General Acute Care Hospital
(Licence: WI  822-019)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
Mr. KENNETH JENKS
6308 8TH AVE
KENOSHA, WI 53143-5031
Phone number: 262-656-9914
Mailing Address
Mr. KENNETH JENKS
5025 25TH AVE
KENOSHA, WI 53140-5825
Phone number: