Healthcare Provider Details

I. General information

NPI: 1487907515
Provider Name (Legal Business Name): KEVIN HENSCHKE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2012
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

641 S CENTRAL AVE
MARSHFIELD WI
54449-4104
US

IV. Provider business mailing address

641 S CENTRAL AVE
MARSHFIELD WI
54449-4104
US

V. Phone/Fax

Practice location:
  • Phone: 715-502-3585
  • Fax: 715-502-3592
Mailing address:
  • Phone: 715-502-3585
  • Fax: 715-502-3592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberWI15719-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: