Individual
JENNIFER SUSAN KICKENDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2801 W. KINNICKINNIC RIVER PARKWAY, SUITE 1030, MILWAUKEE, WI 53215
(414) 908-6507
(414) 955-6528
Mailing address
2801 W. KINNICKINNIC RIVER PARKWAY, SUITE 1030, MILWAUKEE, WI 53215
(414) 908-6507
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
56617-20
WI
Other
Enumeration date
03/29/2010
Last updated
10/01/2014
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