Individual
RYAN J KEHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19475 W NORTH AVE, SUITE 201, BROOKFIELD, WI 53045-4199
(262) 395-4160
(262) 395-4159
Mailing address
19475 W NORTH AVE, SUITE 201, BROOKFIELD, WI 53045-4199
(262) 395-4160
(262) 395-4159
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
44735
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34932600
—
WI
01
—
CG1663
MEDICARE RAILROAD
—
Enumeration date
05/13/2006
Last updated
07/16/2013
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