SearchWisconsin152W00000X

Elias Keith, O.D

NPI 1386082394 · on the registry since 2013 · sole proprietor

Practice

Address
815 57th St Ste D
Kenosha, WI 53140
Phone
(262) 204-7239
Organisation at this address
Our Future Prenatal Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-12-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin