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Individual

BETH G KEEFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
600 WALNUT RIDGE DR, HARTLAND, WI 53029
(262) 369-7040
(262) 369-6922
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44488
WI
208000000X
Pediatrics Physician
44488
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013980234
WI
01
K400384514
MEDICARE
WI
Enumeration date
02/08/2006
Last updated
06/18/2024
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