Individual
DR. KEONA CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8701 W WATERTOWN PLANK RD, MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS, MILWAUKEE, WI 53226-3548
(414) 955-4575
(414) 955-6528
Mailing address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A168870
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2016
Last updated
08/30/2021
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