Individual
KENNETH P KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
701 DANE STREET, MADISON, WI 53713
(608) 263-3111
(608) 263-6663
Mailing address
6714 COLONY DR, MADISON, WI 53717-1125
(608) 833-8586
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
923
WI
Other
Enumeration date
04/20/2006
Last updated
10/04/2018
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