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Ms. Tisha M Kennebeck, PA-C
Physician Assistant in Oshkosh, Wisconsin
NPI 1710094248

Tisha M Kennebeck is a Physician Assistant based in Milwaukee, WI. Tisha M Kennebeck practices in Oshkosh, WI and has the professional credentials of PA-C. The NPI Number for Tisha M Kennebeck is 1710094248 and holds a License No. 1085-023 (Wisconsin).

The current practice location address for Tisha M Kennebeck is 414 Doctors Ct, Oshkosh, WI and can be reached out via phone at 920-303-8700 and via fax at 920-303-5004.

Location: 414 Doctors Ct, Oshkosh, WI, 53215-2843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710094248
Provider Name
Tisha M Kennebeck
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
414 Doctors Ct, Oshkosh, WI, 53215-2843
Phone Number
920-303-8700
Fax Number
920-303-5004
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
42975400 05 WI
institution
Provider Business Practice Location Address Details
Address
414 Doctors Ct
City
Oshkosh
State
Wisconsin
Zip
54901
Phone Number
920-303-8700
Fax Number
920-303-5004
person
Provider Business Mailing Address Details
Address
414 Doctors Ct
City
Oshkosh
State
Wisconsin
Zip
54901
Phone Number
920-303-8700
Fax Number
920-303-5004
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
1085-023 (Wisconsin)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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