Kenneth Santana, SAC-IT

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

17228-130 Issued in WI

Practice address

1111 S 6TH St
Milwaukee, WI 53204-2301

Phone

(414) 649-1929

NPI assigned

Sep 5, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1003217423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624A W WASHINGTON ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532042064",
            "telephone_number": "414-649-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S 6TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532042301",
            "telephone_number": "414-649-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "KENNETH",
        "credential": "SAC-IT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WI",
            "license": "17228-130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sankofa Pca, LLC
• Praveen Sankrithi
• Famara Sanneh
• Dane Sannes, MD
• April Carmen Santa Anna
• Brooke Francesca Santelli, PA-C
• Rajesh Santharam, MD
• Delmalee Santiago Gonzalez
• James Arthur Santiago-Lloyd
• Kevin Santiago, DMD

• Substance Abuse Rehabilitation Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Substance Abuse Rehabilitation Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.