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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENGO SEO, PA-C

Active

KENGO SEO, PA-C is a Physician Assistant healthcare provider located in MARSHFIELD, Wisconsin. NPI 1225061450 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MARSHFIELD, WI

Registration Details

NPI Number
1225061450
Provider Type
Individual
Gender
Male
NPI Issued
Jul 9, 2006 (20.062497229752 yrs)
Last Updated
Nov 17, 2022
Licenses
9798 (MN)
2658 (WI)

Practice Information

Address
1000 N OAK AVE
MARSHFIELD, WI, 544495703
Browse WI providers · Browse ZIP 54449
Phone
7153875511
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MARSHFIELD, WI

Name Credential NPI
RANDALL R SOUTHARDS PA 1841233186
ROGER DEAN LOVELACE PA-C 1770509598
HAROLD WERTH PA 1316052889
ROBERT RENNELLS PA 1760597231
HAZEL NEUFELD PA C 1811004187
RICHARD LELAND NESBITT PAC 1700993078
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.