Individual
MRS. DIANE R. GRAYBILL KEHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 W 8TH ST, MONROE, WI 53566-1021
(608) 324-1940
Mailing address
515 22ND AVENUE, MONROE, WI 53566-1569
(312) 996-8009
(312) 996-7725
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209002308
IL
363L00000X
Nurse Practitioner
Primary
6775
WI
363LF0000X
Family Nurse Practitioner
209002308
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040030712
BC/BS
IL
Enumeration date
08/08/2006
Last updated
07/16/2025
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