DIANE M KEEHN (NPI# 1194883512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194883512 |
| Entity Type | Individual |
| Full Name | DIANE M KEEHN |
| Other Name | DIANE M WILKE |
| Credential | PA-C |
| Practice Address |
3200 E Racine St Janesville WI 53546 |
| Mailing Address |
1808 W Beltline Hwy Madison WI 53713-2334 |
| Practice Telephone | 6083718000 |
| Practice Fax Number | 6083718938 |
| Mailing Telephone | 6082501497 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1456 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41970800 | 05 | |
| IL | 002190254 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6750 W Fenrick Rd, Evansville, WI 53536 | 6082016817 |
| Street Address |
3200 E RACINE ST |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124026208 | Mark C. Torres | Obstetrics & Gynecology | 3200 E Racine St, Janesville, WI 53546-2343 | 2005-07-12 |
| 1033719703 | Macy G Bolt | Physical Therapist | 3200 E Racine St, Janesville, WI 53546-2343 | 2020-10-30 |
| 1407489016 | Joy P. Thompson | Nurse Practitioner | 3200 E Racine St, Janesville, WI 53546-2343 | 2020-02-21 |
| 1851938419 | Hatsuho Wilkinson | Dietitian, Registered | 3200 E Racine St, Janesville, WI 53546-2343 | 2019-12-03 |
| 1013563394 | Karrie R Lynch | Nurse Practitioner | 3200 E Racine St, Janesville, WI 53546-2343 | 2019-08-13 |
| 1679128771 | Ellen Jean Ettlie | Nurse Practitioner | 3200 E Racine St, Janesville, WI 53546-2343 | 2019-08-06 |
| 1881249126 | Elizabeth F Ramer | Nurse Practitioner | 3200 E Racine St, Janesville, WI 53546-2343 | 2019-08-05 |
| 1093377905 | Nichole N Clark | Nurse Practitioner | 3200 E Racine St, Janesville, WI 53546-2343 | 2019-07-01 |
| 1386202448 | Nicole M. Wentzien | Physical Therapist | 3200 E Racine St, Janesville, WI 53546-2343 | 2019-06-04 |
| 1407322084 | Mark William Dantuma | Nurse Practitioner | 3200 E Racine St, Janesville, WI 53546-2343 | 2018-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366911489 | Latoya Christina Anderson | Counselor | 1818 Pershing Pl, Janesville, WI 53546 | 2018-11-19 |
| 1922599216 | Megan Arney | Speech-Language Pathologist | 9680, 4445 Woodgate Dr., Janesville, WI 53546 | 2018-05-23 |
| 1770089955 | Abby Marie Harnack | Registered Nurse | 3901 Teal Ln, Janesville, WI 53546 | 2018-04-05 |
| 1962773648 | Clark Carroll | Nurse Practitioner | 1820 Center Ave, Janesville, WI 53546 | 2012-01-26 |
| 1689983793 | Fve Mw LLC | Assisted Living Facility | 3801 North Wright Road, Janesville, WI 53546 | 2010-10-07 |
| 1831354794 | County of Rock County Clerk | Community/Behavioral Health | 3506 Hwy 51, Janesville, WI 53546 | 2008-07-21 |
| 1528225422 | Walgreen Co | Pharmacy | 2519 Kettering St, Janesville, WI 53546 | 2008-05-19 |
| 1447420351 | Michele Renee Bohland | Physical Therapy Assistant | 2540 Humes Rd, Janesville, WI 53546 | 2008-03-06 |
| 1093992158 | Emma Gene Harrell | Counselor | 203 W Sunny Lane, Janesville, WI 53546 | 2008-01-30 |
| 1457473696 | Robert Louis Fleming | Dentist | 910 Conde St, Janesville, WI 53546 | 2007-04-06 |
| Find all providers in zip 53546 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375798 | David William Castellanos | Physician Assistant | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2020-01-13 |
| 1154817559 | Michelle Marie Gionet | Physician Assistant | 3400 Deerfield Dr, Janesville, WI 53546 | 2018-07-09 |
| 1487051587 | Angela Stumpf Hughes | Physician Assistant | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2014-12-04 |
| 1710382601 | Hasan Raza | Physician Assistant | 17 S River St, Suite 254, Janesville, WI 53548-3860 | 2014-11-04 |
| 1013226968 | Brittany M. Austin | Physician Assistant | 3200 E Racine St, Janesville, WI 53546 | 2010-09-27 |
| 1629200100 | Ashley Ellen Lienhardt | Physician Assistant | 1010 N Washington St, Janesville, WI 53548-1500 | 2009-08-17 |
| 1316094535 | Ann Elizabeth Holt-minard | Physician Assistant | 1010 N Washington St, Janesville, WI 53548-1500 | 2007-01-03 |
| 1275698300 | Tina L Schnell | Physician Assistant | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2006-12-27 |
| 1306912688 | Jennifer L Laatsch | Physician Assistant | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2006-11-28 |
| 1346313483 | Lynn M Johnston | Physician Assistant | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2006-11-16 |
| Find all providers in JANESVILLE | ||||
| City | JANESVILLE |
| Zip Code | 53546 |
Please comment or provide details below to improve the information on DIANE M KEEHN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.