Swanson, Kenneth Andrew
Swanson, Kenneth Andrew is an individual health care provider with primary practice located at 2801 W Kinnickinnic River Pkwy Ste 436 , Milwaukee WI 53215-3678. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Swanson, Kenneth Andrew can be contacted via phone (414) 649-3577.Contact Information
Primary practice address
2801 W Kinnickinnic River Pkwy Ste 436
Milwaukee WI 53215-3678
Phone: (414) 649-3577
Fax: (414) 649-3753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 70647-21 | Wisconsin |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 70647 | Wisconsin |
Profile Details
| NPI number | 1730541285 |
|---|---|
| LBN Legal business name | Swanson, Kenneth Andrew |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2016 |
| Last updated | Nov 29th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730541285 | NPPES |
| Wisconsin | MEDICAID | 100090491 |
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