Individual
KEVIN TARKINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED GRIEF EDUC
Contact information
Practice address
6523 N 49TH CT, MILWAUKEE, WI 53223-6006
(612) 715-9696
Mailing address
PO BOX 242352, MILWAUKEE, WI 53224-9048
(414) 553-1474
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
04/02/2023
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