Individual
DR. DOUGLAS KEEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1604 MADISON AVE, FORT ATKINSON, WI 53538-3101
(920) 568-6596
Mailing address
PO BOX 249, FORT ATKINSON, WI 53538-0249
(920) 563-4466
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
43692
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30892600
—
WI
Enumeration date
03/01/2006
Last updated
10/07/2022
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