Organization
ASPEN ORTHOPEDIC AND REHABILATION SPECALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN J. KEHOE MD (MD)
(262) 395-4141
Entity
Organization
Contact information
Practice address
12555 W NATIONAL AVE STE 100, NEW BERLIN, WI 53151-4061
(262) 395-4141
(262) 395-4159
Mailing address
12555 W NATIONAL AVE STE 100, NEW BERLIN, WI 53151-4061
(262) 395-4141
(262) 395-4189
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0524750001
DME ADMINISTAR FEDERAL
WI
01
—
CG1663
MEDICARE RAILROAD
WI
Enumeration date
07/05/2006
Last updated
10/15/2025
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