SearchWisconsin224Z00000X

Kenneth Pitt

NPI 1649607474 · on the registry since 2013 · sole proprietor

Practice

Address
12765 W Hickory Ct
New Berlin, WI 53151
Phone
(414) 258-8492

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-10-11

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