Individual
KAGEN RENEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF ANESTHESIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6100
(414) 805-6147
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF ANESTHESIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6100
(414) 805-6147
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3769-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841743606
—
WI
Enumeration date
07/28/2016
Last updated
12/11/2016
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