SearchWisconsin183700000X

Dequan Gaddis, CPHT

NPI 1922927334 · on the registry since 2026

Practice

Address
1810 30th Ave
Kenosha, WI 53144
Phone
(262) 551-8812
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183700000X
183700000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-11

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