Jacquet, Kerry

Jacquet, Kerry is an individual health care provider with primary practice located at 5219 88Th Ave , Kenosha WI 53144-7468. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Jacquet, Kerry can be contacted via phone (262) 653-0850.

Contact Information

Primary practice address
5219 88Th Ave Kenosha WI 53144-7468
Phone: (262) 653-0850
Fax: (262) 653-0853
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 13622 Wisconsin

Profile Details

NPI number 1073060521
LBN Legal business name Jacquet, Kerry
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2016
Last updated Mar 24th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073060521 NPPES
Wisconsin MEDICAID 1073060521

Popular Providers