Individual
BRIAN KENEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1121 BELLWEST BLVD, BELLEVILLE, WI 53508-9433
(608) 424-3384
(608) 424-6353
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
76463
WI
Other
Enumeration date
04/06/2020
Last updated
10/03/2023
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