Search › Wisconsin › 225100000X
Jena Delisle, DPT
NPI 1447500814 · on the registry since 2012
Practice
- Address
- 3601 30th Ave
Suite 103
Kenosha, WI 53144 - Phone
- (262) 657-7071
- Fax
- (262) 657-0632
- Organisation at this address
- Amtul R Ahmad Md Sc
Karl B Scheidt Md, Sc
Family Pediatrics, Inc.
Great Lakes Dermatology
Forefront Dermatology, S.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- FL, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-12-07
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