Dahlman, Kevin James

Dahlman, Kevin James is an individual health care provider with primary practice located at 3003 W Good Hope Rd , Milwaukee WI 53209-2042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dahlman, Kevin James can be contacted via phone (414) 352-3100.

Contact Information

Primary practice address
3003 W Good Hope Rd Milwaukee WI 53209-2042
Phone: (414) 352-3100
Fax: (414) 247-4598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 49905 Wisconsin

Profile Details

NPI number 1063590255
LBN Legal business name Dahlman, Kevin James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Dec 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063590255 NPPES
Wisconsin MEDICAID 35336800

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