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NPI Code Detail

MEDICARE: DR. KENNETH R. CASEY MD

MEDICARE: DR. KENNETH R. CASEY MD
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
1207RP1001XPulmonary Disease Physician63641WI
2207RS0012XSleep Medicine (Internal Medicine) Physician63641WI
3207RC0200XCritical Care Medicine (Internal Medicine) Physician63641WI

General Provider Information

NPI Number : 1952384703
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH R. CASEY MD
Provider Business Mailing Address
First Line : 3025 ASHFORD LN
Second Line :
City : MADISON
State : WI
Zip : 53713-2929
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6001 RESEARCH PARK BLVD
Second Line :
City : MADISON
State : WI
Zip : 53719-1176
Country : US
Telephone Number : 608-232-3333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2005
Last Update Date : 02/22/2018

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