Individual
MS. KENNETH CHRISTENSEN
Active
Individual
MS. KENNETH CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1892
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346291747
—
WI
Enumeration date
05/12/2006
Last updated
02/14/2013
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