Keim, David Ralph

Keim, David Ralph is an individual health care provider with primary practice located at 3021 Voyager Dr , Green Bay WI 54311-8303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rheumatology, which is considered as his primary health care specialty. Keim, David Ralph can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
3021 Voyager Dr Green Bay WI 54311-8303
Phone: (920) 496-4700
Fax: (920) 431-1849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X 33638 Wisconsin

Profile Details

NPI number 1770509580
LBN Legal business name Keim, David Ralph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 28th, 2008 - about 17 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 1770509580 NPPES
Wisconsin MEDICAID 31877400

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