Whalio Doctors

NPI 1417956525

Kenneth Joseph Pechman, MD

Practitioner Dermatology Physician Green Bay, WI

Practice location

Address
2806 Riverview Dr, Green Bay, WI 54313-6717
Phone
(920) 498-7546
Fax
(920) 569-4129
Mailing address
801 York St, Manitowoc, WI 54220-4630

Registered specialties (2)

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 24239020 (WI)
Specialist
Other Service Providers Taxonomy 174400000X Licence 24239020 (WI)

Registry record

NPI
1417956525
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Jul 2005
Record last updated
12 Apr 2025

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.