KEVIN A KHATER, MD, PHD, Radiation Oncology KENOSHA, WI

Contact Information

KEVIN A KHATER, MD, PHD

6308 8TH AVE
KENOSHA, WI 53143-5031

Phone: 262-577-8206
Fax: 262-577-8587
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology

Indicates primary specialty

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NPI Profile & details for KEVIN A KHATER · (Male)

NPI #	`1710938550`
Status	Active
Credentials	MD, PHD
Entity	Individual
Enumeration date	05/15/2006
Last updated	06/26/2015 - About 11 years ago
Sole proprietor ¹	Yes
Identifiers	IN License # 01063742A IN Medicaid 200860960
Hospital affiliation(s)	UNITED HSPTL SYS - (Acute Care) 6308 EIGHTH AVE KENOSHA, WI 53143

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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