Individual
GEORGE KENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 568-5330
(920) 568-5075
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
42993-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34099100
—
WI
Enumeration date
01/13/2006
Last updated
04/16/2014
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