Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Benjamin Kannenberg, MD

Individual provider Psychiatry Physician · NPI 1861134009

Dr. Benjamin Kannenberg, MD is a Psychiatry Physician in Columbus, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2022.

Licensed in
WI
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1515 Park Ave
Columbus, WI 53925-2402
Phone: (920) 623-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 87287-20 (WI)

Record details

NPI number1861134009
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2022
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address1515 Park Ave, Columbus, WI 53925-2402

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