Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH G CONDON, MD
DeactivatedKENNETH G CONDON, MD is a Facial Plastic Surgery healthcare provider located in MARSHFIELD, Wisconsin. NPI 1215994363 is deactivated in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · MARSHFIELD, WI
This NPI has been deactivated.
The record was deactivated on October 14, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1215994363
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2006 (14.454794520548 yrs)
- Last Updated
- Jul 12, 2023
- Deactivated
- Oct 14, 2020
- License
-
24143 (WI)
Practice Information
- Address
-
1000 N OAK AVEMARSHFIELD, WI, 544495703Browse WI providers · Browse ZIP 54449
- Phone
- 7153875511
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.