Individual
KEVIN BUSHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2000
Mailing address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2000
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
17349-33
WI
363L00000X
Nurse Practitioner
Primary
17349-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100383028
—
WI
Enumeration date
08/28/2025
Last updated
12/08/2025
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