Individual
KENNA PETERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 MOUNT PLEASANT ST, RACINE, WI 53404-1511
(262) 631-0998
Mailing address
20610 W NATIONAL AVE, NEW BERLIN, WI 53146-4900
(262) 364-8432
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
922226
WI
Other
Enumeration date
05/15/2026
Last updated
05/28/2026
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