Individual
KEEGAN WADE SAMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS, INC., 8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226
(414) 955-4575
Mailing address
171 GAZETTE AVE APT 4, LEXINGTON, KY 40508-3271
(606) 356-8587
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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