Individual
DR. NEVINE RAMSIS YACOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6308 8TH AVE, KENOSHA, WI 53143-5031
(262) 653-5300
(262) 656-2963
Mailing address
6308 8TH AVE, ATTN: MEDICAL STAFF OFFICE, KENOSHA, WI 53143-5031
(262) 653-5300
(262) 656-2963
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
50978-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34984800
—
WI
Enumeration date
05/19/2006
Last updated
02/26/2019
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