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Kenny Samuel
NPI 1245467554 · on the registry since 2009 · sole proprietor
Practice
- Address
- 6621 N Yuba St
Milwaukee, WI 53223 - Phone
- (414) 406-1438
- Fax
- (414) 353-5633
- Organisation at this address
- Distinctive Care Transportation Company
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-06-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin