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Kheson Madison
NPI 1558871525 · on the registry since 2017
Practice
- Address
- 555 W Grand Ave
Wisconsin Rapids, WI 54495 - Phone
- (715) 424-4682
- Fax
- (715) 424-4614
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-10-04
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