Whalio Doctors

NPI 1770101008

Kenneth William Strege, PEERSUPPORT

Practitioner Community Health Worker Jefferson, WI

Practice location

Address
1541 Annex Rd, Jefferson, WI 53549-9803
Phone
(920) 723-2830
Fax
(920) 723-2830

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X

Registry record

NPI
1770101008
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Jul 2020
Record last updated
13 Jul 2020

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.