Kehoe, Cullen Timothy

Kehoe, Cullen Timothy is an individual health care provider with primary practice located at N2950 State Road 67 , Lake Geneva WI 53147-2655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kehoe, Cullen Timothy can be contacted via phone (262) 245-4990.

Contact Information

Primary practice address
N2950 State Road 67 Lake Geneva WI 53147-2655
Phone: (262) 245-4990
Fax: (262) 245-2248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036122047 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11215 North Dakota
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 53435-21 Wisconsin

Profile Details

NPI number 1013166925
LBN Legal business name Kehoe, Cullen Timothy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2008
Last updated Mar 4th, 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 1013166925 NPPES
Wisconsin Other KEHOECUL MERCYCARE INSURANCE
Wisconsin MEDICAID 1013166925 MERCYCARE INSURANCE
Wisconsin Other 1013166925 MERCYCARE INSURANCE

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