NPI Profile for JEANNINE KENEVAN in APPLETON, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Blind |
2255R0406X |
| NPI Number | 1093064008 |
|
| Status | Active | |
| Credentials | COMS, LPC | |
| Entity | Individual | |
| Enumeration date | 09/05/2012 | |
| Last updated | 09/05/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JEANNINE KENEVAN
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