Gentile, Kevin E.

Gentile, Kevin E. is an individual health care provider with primary practice located at 740 Deerwood Ave , Neenah WI 54956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gentile, Kevin E. can be contacted via phone (920) 751-9600.

Contact Information

Primary practice address
740 Deerwood Ave Neenah WI 54956
Phone: (920) 751-9600
Fax: (920) 751-9667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 48873 Wisconsin

Profile Details

NPI number 1134185861
LBN Legal business name Gentile, Kevin E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Sep 2nd, 2008 - about 18 years ago

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 1134185861 NPPES
Wisconsin MEDICAID 34914200

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