SearchWisconsin101YP2500X

Owen Kennedy

NPI 1598126294 · on the registry since 2016 · sole proprietor

Practice

Address
1807 N Center St
Beaver Dam, WI 53916
Phone
(920) 887-8751
Organisation at this address
Affiliated Counseling Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101Y00000X
101YM0800X
101YP2500X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-03-07

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