Whalio Doctors

NPI 1083830335

Gregory Kaftan, MD

Practitioner Occupational Medicine Physician Kenosha, WI

Practice location

Address
5555 30th Ave, Kenosha, WI 53144-2871
Phone
(262) 658-7102
Mailing address
2861 N Prospect Ave, Milwaukee, WI 53211-3771

Registered specialties

Occupational Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 34419 (WI)

Registry record

NPI
1083830335
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Apr 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.