Individual
PRISCILLA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5550 CADDIS BND, FITCHBURG, WI 53711-7140
(262) 352-6723
Mailing address
5550 CADDIS BND APT 111, FITCHBURG, WI 53711-7141
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
82375-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2020
Last updated
07/16/2025
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