Peter Kenny, PHD | |
N91w17271 Appleton Ave Ste 1, Menomonee Falls, WI 53051-2045 | |
(262) 502-3300 | |
Not Available |
Full Name | Peter Kenny |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 41 Years |
Location | N91w17271 Appleton Ave Ste 1, Menomonee Falls, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457317943 | NPI | - | NPPES |
39186700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1036 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1052 |
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Mailing Address | Practice Location Address |
---|---|
Peter Kenny, PHD N91w17271 Appleton Ave Ste 1, Menomonee Falls, WI 53051-2045 Ph: (262) 502-3300 | Peter Kenny, PHD N91w17271 Appleton Ave Ste 1, Menomonee Falls, WI 53051-2045 Ph: (262) 502-3300 |
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