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Contact Information

JEANNINE KENEVAN, COMS, LPC
820 W COLLEGE AVE
SUITE 3
APPLETON, WI54914-5286
 Phone: 920-831-2090
 Fax: 920-831-2091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation, Blind

2255R0406X
Indicates primary specialty

NPI Profile & details for JEANNINE KENEVAN · (Female)

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
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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