Kehoe, Michael

Kehoe, Michael is an individual health care provider with primary practice located at 6150 West Layton Ave , Greenfield WI 53220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kehoe, Michael can be contacted via phone (414) 282-4100.

Contact Information

Primary practice address
6150 West Layton Ave Greenfield WI 53220
Phone: (414) 282-4100
Fax: (414) 282-4108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 19575 Wisconsin

Profile Details

NPI number 1710908520
LBN Legal business name Kehoe, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 8th, 2007 - about 19 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 1710908520 NPPES
Wisconsin MEDICAID 31009700

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