NPI 1003217423
Kenneth Santana, SACIT
Practice location
- Address
- 1111 S 6th St, Milwaukee, WI 53204-2301
- Phone
- (414) 649-1929
- Mailing address
- 1624a W Washington St, Milwaukee, WI 53204-2064
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1003217423
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Sep 2014
- Record last updated
- 5 Sep 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.