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NPI Code Detail

MEDICARE: DR. JOHN EDWARD KEHOE MD, MPH

MEDICARE:  DR. JOHN EDWARD KEHOE  MD, MPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171000000XMilitary Health Care Provider
2208800000XUrology Physician2019-02482NC

General Provider Information

NPI Number : 1669714309
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN EDWARD KEHOE MD, MPH
Provider Business Mailing Address
First Line : 7909 FREDERICKSBURG RD STE 110
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-3400
Country : US
Telephone Number : 106-144-5442
Fax Number : 210-679-3724
Provider Business Practice Location Address
First Line : 2020 SUNDANCE PKWY STE A2
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-2771
Country : US
Telephone Number : 830-246-2115
Fax Number : 830-730-4127
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2013
Last Update Date : 07/18/2024

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