Wollenberg, Kevyn Alexis Janicek

Wollenberg, Kevyn Alexis Janicek is an individual health care provider with primary practice located at 535 Hospital Rd , New Richmond WI 54017-1449. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Wollenberg, Kevyn Alexis Janicek can be contacted via phone (715) 243-2600.

Contact Information

Primary practice address
535 Hospital Rd New Richmond WI 54017-1449
Phone: (715) 243-2600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5868-23 Wisconsin
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1851977854
LBN Legal business name Wollenberg, Kevyn Alexis Janicek
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2021
Last updated Aug 19th, 2022 - 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.

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