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Contact Information

KEVIN J LAURENCE, MD
9601 TOWNLINE RD
MINOCQUA, WI54548
 Phone: 715-358-1169
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KEVIN J LAURENCE · (Male)

NPI Number 1649353046
Status Active
Credentials MD
Entity Individual
Enumeration date 10/23/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 358353
  • WI Medicaid 31947400
Hospital affiliation(s)
  • FLAMBEAU HSPTL - (Critical Access)
    98 SHERRY AVE
    PARK FALLS, WI 54552
  • HOWARD YOUNG MED CTR - (Acute Care)
    240 MAPLE ST
    WOODRUFF, WI 54568
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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