Individual
KENDRA K VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-6851
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-6851
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5153
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962969402
—
WI
Enumeration date
02/20/2019
Last updated
10/19/2023
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