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Contact Information

KENYETTE B BLUE
1526 W NORTH AVE
MILWAUKEE, WI53205-1237
 Phone: 414-510-7068
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1659024628
Entity Organization
Organization subpart 1 Not specified
Enumeration date 01/31/2022
Last updated 01/31/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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