Kenny, Bradley John
Kenny, Bradley John is an individual health care provider with primary practice located at 1702 Scheuring Rd Ste C , De Pere WI 54115-9567. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kenny, Bradley John can be contacted via phone (920) 227-1331.Contact Information
Primary practice address
1702 Scheuring Rd Ste C
De Pere WI 54115-9567
Phone: (920) 227-1331
Fax: (920) 632-7870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2502-012 | Wisconsin |
Profile Details
| NPI number | 1588623482 |
|---|---|
| LBN Legal business name | Kenny, Bradley John |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Jun 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588623482 | NPPES |
| Wisconsin | MEDICAID | 38930200 |
Popular Providers
-
Spielbauer, Brady
1702 Scheuring Rd Ste C , De Pere WI 54115-9567 -
Mehlman, Molly
102 N Broadway Ste 102 , De Pere WI 54115-2520 -
Woodward, Spencer L
820 George St , De Pere WI 54115-2916 -
Dyrdahl, Brandon Allen
1680 Mid Valley Dr Ste C , De Pere WI 54115-9517 -
Hansen, Steven P
111 N 5Th St , De Pere WI 54115-2201 -
Larie, Grant
502 George St , De Pere WI 54115-2714 -
Huebner, Karl
3108 Mid Valley Dr , De Pere WI 54115-9436 -
Matzke, Thomas
615 George St , De Pere WI 54115-2809