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Contact Information

KYLE J DUBOSE, DO
10400 75TH ST
KENOSHA, WI53142-7884
 Phone: 262-942-5600
 Fax: 262-948-7388
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for KYLE J DUBOSE · (Male)

NPI Number 1285093104
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/20/2016
Last updated 09/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 67393
  • WI Medicaid 100068480
Hospital affiliation(s)
  • AURORA MED CTR KENOSHA - (Acute Care)
    10400 75TH ST
    KENOSHA, WI 53142
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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