# ASPEN ORTHOPEDIC AND REHABILATION SPECALIST

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

## Provider details

- **NPI number:** 1710520200
- **Authorized official:** RYAN J. KEHOE MD (AUTHORIZED OFFICIAL)
- **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) 395-4189
- **Mailing address:** 12555 W NATIONAL AVE STE 100, NEW BERLIN, WI 53151-4061
- **Mailing address phone:** (262) 395-4163
- **Mailing address fax:** (262) 395-4159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2019
- **Last updated:** 10/15/2025
