Keene, Clayton W

Keene, Clayton W is an individual health care provider with primary practice located at 530 Smith Ave , Oconto WI 54153-1010. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Keene, Clayton W can be contacted via phone (920) 834-7600.

Contact Information

Primary practice address
530 Smith Ave Oconto WI 54153-1010
Phone: (920) 834-7600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6529-33 Wisconsin

Profile Details

NPI number 1134595051
LBN Legal business name Keene, Clayton W
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2015
Last updated Aug 28th, 2024 - about 2 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 1134595051 NPPES
Wisconsin Other 1568552958 CLINIC NPI
Wisconsin MEDICAID 100047664 CLINIC NPI
Wisconsin Other 1851477913 CLINIC NPI

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