MS. TISHA KENNEBECK, PA-C
Physician Assistant
Active
Individual
NPI: 1710094248
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 1085-023 (WI) |
Frequently Asked Questions
NPI 1710094248 is the National Provider Identifier for MS. TISHA KENNEBECK, PA-C, a Physician Assistant provider located in Oshkosh, WI. This NPI was enumerated on August 23, 2006.
MS. TISHA KENNEBECK, PA-C practices at 414 DOCTORS CT, Oshkosh, WI 54901.
Quick Facts
- NPI
- 1710094248
- Type
- Individual
- Enumerated
- Aug 23, 2006
- Last Updated
- Nov 11, 2025
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MR. STEPHEN KENNEBECK, PA-C
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