Kahook, Khalid S

Kahook, Khalid S is an individual health care provider with primary practice located at 200 Theda Clark Plaza Suite 110, Neenah WI 54956-2790. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Kahook, Khalid S can be contacted via phone (920) 751-8666.

Contact Information

Primary practice address
200 Theda Clark Plaza Suite 110 Neenah WI 54956-2790
Phone: (920) 751-8666
Fax: (920) 751-0288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 6519320 Wisconsin

Profile Details

NPI number 1356640726
LBN Legal business name Kahook, Khalid S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2011
Last updated Dec 11th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356640726 NPPES
Wisconsin Other K400293985 MEDICARE PTAN

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