Kevin Richard Thomsen | Milwaukee, WI • PECOS Search

Kevin Richard Thomsen

Social Worker

Behavioral Health & Social Service Providers

5000 W National Ave, Milwaukee, WI 53295-0001

PECOS Enrollment

Based on the most recent information from CMS, provider Kevin Richard Thomsen does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1932122561
Provider Type
Individual
Full Name
Thomsen, Kevin Richard
Title
Mr.
Credential
M.S.W.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/25/2006
Last Updated
7/8/2007

Contact Information

Practice Location

5000 W National Ave, Milwaukee, WI 53295-0001

Unlisted Fax

Mailing Location

5000 W National Ave, Milwaukee, WI 53295-0001

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 887122 Wisconsin