Individual
KENNETH VERNON SCHLICHTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1455
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41958400
—
WV
Enumeration date
07/26/2006
Last updated
09/05/2012
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