| Doctor Name: | DR. KENNETH JOSEPH PECHMAN |
| NPI Number: | 1417956525 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 24239020 |
| Business Practice Address: | 2806 Riverview Dr Green Bay, WI - 543136717 |
| Business Phone Number: | 9204987546 |
| Business Fax Number: | 9205694129 |
| Mailing Address: | 801 York St, MANITOWOC |
| State: | WI |
| Postal Code: | 542204630 |
| Phone Number: | 9206835278 |
| Fax Number: | 9206869674 |
| NPI Enumeration Date: | 07/20/2005 |
| NPI Last Update Date: | 08/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/20/2006 |
| NPI Reactivation Date: | 03/29/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 24239020 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |