Kenzer, Steven Edward

Kenzer, Steven Edward is an individual health care provider with primary practice located at 12225 71St St , Kenosha WI 53142-7320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Kenzer, Steven Edward can be contacted via phone (262) 948-4870.

Contact Information

Primary practice address
12225 71St St Kenosha WI 53142-7320
Fax: (262) 948-4871
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 036 114319 Illinois
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 51488 Wisconsin

Profile Details

NPI number 1255432134
LBN Legal business name Kenzer, Steven Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 10th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255432134 NPPES
Wisconsin MEDICAID 37579300

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