Individual
MR. KYLE J SENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1160 KEPLER DR, GREEN BAY, WI 54311-8321
(920) 288-5555
(920) 288-5550
Mailing address
164 N BROADWAY, GREEN BAY, WI 54303-2728
(920) 288-5555
(920) 288-5550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3436
WI
363AS0400X
Surgical Physician Assistant
3436-23
WI
Other
Enumeration date
09/26/2014
Last updated
03/23/2016
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