# ASPEN ORTHOPAEDIC AND REHABILITATION SPECIALISTS S C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366473597
- **Authorized official:** DR. RYAN J. KEHOE MD (MD)
- **Authorized official phone:** (262) 395-4141

## Contact information

- **Practice address:** 12555 W NATIONAL AVE STE 100, NEW BERLIN, WI 53151-4061
- **Practice address phone:** (262) 395-4141
- **Practice address fax:** (262) 395-4159
- **Mailing address:** 12555 W NATIONAL AVE STE 100, NEW BERLIN, WI 53151-4061
- **Mailing address phone:** (262) 395-4141
- **Mailing address fax:** (262) 395-4189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 06/15/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0524750001 | DME ADMINISTAR FEDERAL | WI |
| 01 | — | CG1663 | MEDICARE RAILROAD | WI |