Individual
DR. STEVEN EDWARD KENZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12225 71ST ST, KENOSHA, WI 53142-7320
(262) 948-4870
(262) 948-4871
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
036 114319
IL
207RR0500X
Rheumatology Physician
Primary
51488
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37579300
—
WI
Enumeration date
09/26/2006
Last updated
07/10/2024
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