Individual
JEFFREY ALAN KANNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2895 S MOORLAND RD, NEW BERLIN, WI 53151
(262) 782-9015
(262) 782-9013
Mailing address
2895 S MOORLAND RD, NEW BERLIN, WI 53151
(262) 782-9015
(262) 782-9013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2778024
WI
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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