Individual
MR. KENNETH R KINGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S
Contact information
Practice address
4222 W CAPITOL DR, MILWAUKEE, WI 53216-2500
(414) 810-4431
Mailing address
3809 N 11TH ST, MILWAUKEE, WI 53206-3057
(414) 397-1649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WI
Other
Enumeration date
03/12/2008
Last updated
01/12/2013
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