Individual
DR. KENNETH SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
925 N 87TH ST, THE EYE INSTITUTE, MILWAUKEE, WI 53226-4812
(414) 955-2020
(414) 955-6332
Mailing address
925 N 87TH ST, THE EYE INSTITUTE, MILWAUKEE, WI 53226-4812
(414) 955-2020
(414) 955-6332
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
30163
WI
207ZP0101X
Anatomic Pathology Physician
30163
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000133
HUMANA
—
05
—
1225089709
—
WI
Enumeration date
05/12/2006
Last updated
01/20/2015
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