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NPI Code Detail

MEDICARE: KENYA PRATT

MEDICARE:   KENYA  PRATT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care AgencyWI
2343900000XNon-emergency Medical Transport (VAN)P6305138483609WI
3374U00000XHome Health AideWI

General Provider Information

NPI Number : 1871052944
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENYA PRATT
Provider Business Mailing Address
First Line : 1433 N WATER ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-2557
Country : US
Telephone Number : 262-230-5190
Fax Number :
Provider Business Practice Location Address
First Line : 1433 N WATER ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-2557
Country : US
Telephone Number : 262-230-5190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2019
Last Update Date : 06/13/2022

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Directions to “ KENYA PRATT ” Practice Location

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