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Individual

DR. KENNETH WAYNE SCHENK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC, DACRB

Contact information

Practice address
415 E GENEVA ST, ELKHORN, WI 53121-1919
(262) 723-2792
(262) 723-2892
Mailing address
415 E GENEVA ST, ELKHORN, WI 53121-1919
(262) 723-2792
(262) 723-2892

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3201
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350050536
PALMETTO GBA RR MEDICARE
01
391950070014
BCBS BILLING PROVIDER
Enumeration date
08/22/2005
Last updated
06/24/2008
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