Kenneth Lamar Prust

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NPI Number Detailed Information

Provider Information:

Name:	Kenneth Lamar Prust
Gender:	M
Provider License Number If Given:	6795-123

NPI Information:

NPI:	1134113178
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	9/6/2005
Last Update Date:	7/9/2007

Provider Business Mailing Address:

Address:	N7377 MALIBOU LN Beaver Dam, WI 53916
Phone Number:	9208872517
Fax Number:	9208878662

Provider Business Practice Location Address:

Address:	1200 N CENTER ST Beaver Dam, WI 53916
Phone Number:	9208873171
Fax Number:	9208878662

Provider Taxonomy:

Primary:	101YM0800X
Secondary (if any):
State:	WI

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About Kenneth Lamar Prust

Kenneth Lamar Prust ( KENNETH LAMAR PRUST ) is Definition Counselor Physician in Beaver Dam, WI. The NPI Number for Kenneth Lamar Prust is 1134113178.

The current location address for Kenneth Lamar Prust is 1200 N CENTER ST Beaver Dam, WI 53916 and the contact number is 9208872517 and fax number is 9208878662. The mailing address for Kenneth Lamar Prust is N7377 MALIBOU LN Beaver Dam, WI 53916- 9208873171 (mailing address contact number - 9208872517).

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Provider Business Location on Map

FAQs:

What is the NPI Number for Kenneth Lamar Prust ?

Answer: The NPI Number for Kenneth Lamar Prust is 1134113178

Where is Kenneth Lamar Prust located?

Answer: Kenneth Lamar Prust is located at 1200 N CENTER ST Beaver Dam, WI 53916.

What is the specialty for Kenneth Lamar Prust ?

Answer: The Specialty of Kenneth Lamar Prust is Definition Counselor Physician.

Are there any online reviews for Kenneth Lamar Prust ?

Answer: Not yet!

Are there any other health care providers in Beaver Dam, WI?

Answer: Yes, there are given below...

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