Individual
KEVIN J. ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES, INC, HARTLAND, WI 53029-9317
(262) 928-7500
(262) 367-8744
Mailing address
N17W24100 RIVERWOOD DR, PROHEALTH CARE MEDICAL ASSOCIATES, INC., WAUKESHA, WI 53188-1177
(262) 928-4100
(262) 928-5835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22939
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30346200
—
WI
Enumeration date
02/08/2006
Last updated
11/02/2011
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