Individual
RYAN J KEHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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