Individual
DR. KEVIN T. FLAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 N 1ST ST, WAUSAU, WI 54403-4754
(715) 261-8500
(715) 261-8667
Mailing address
800 N 1ST ST, WAUSAU, WI 54403-4754
(715) 261-8500
(715) 261-8667
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
30290
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001239155
MEDICARE
WI
05
—
31501300
—
WI
Enumeration date
11/25/2005
Last updated
11/17/2025
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