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Individual

KIMBERLEY R KESSENICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
800 RIVERSIDE DR, WAUPACA, WI 54981-1943
(920) 831-5050
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5910

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14142-24
WI

Other

Enumeration date
06/11/2018
Last updated
05/18/2021
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