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Individual

KENYA PRATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1433 N WATER ST, MILWAUKEE, WI 53202-2557
(262) 230-5190
Mailing address
1433 N WATER ST, MILWAUKEE, WI 53202-2557
(262) 230-5190

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
WI
343900000X
Non-emergency Medical Transport (VAN)
P6305138483609
WI
374U00000X
Home Health Aide
Primary
WI

Other

Enumeration date
03/18/2019
Last updated
06/13/2022
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