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Individual

EUGENE KENNY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
942 HIDDEN CAVE RD, MADISON, WI 53717-2758
(608) 831-0448
Mailing address
942 HIDDEN CAVE RD, MADISON, WI 53717-2758

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
404
WI

Other

Enumeration date
04/18/2006
Last updated
09/15/2016
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