Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Cullen Timothy Kehoe, DO

Individual provider Emergency Medicine Physician · NPI 1013166925

Dr. Cullen Timothy Kehoe, DO is an Emergency Medicine in Lake Geneva, Wisconsin. Graduated from University of North Texas Hsc, College of Osteopathic Med in 2005, 21 years ago. Practices with Midwest Medical Center, a 36-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois, North Dakota and Wisconsin.

Years since qualifying
21
Trained at
University of North Texas Hsc, College of Osteopathic Med
Licensed in
IL, ND, WI
In the registry since
2008
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

N2950 State Road 67
Lake Geneva, WI 53147-2655
Phone: (262) 245-4990
Fax: (262) 245-2248
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2305 37th Ave Sw, Minot, ND 58701-7669 — (701) 418-8000
  • 1700 W Stout St, Rice Lake, WI 54868-5000 — (715) 234-1515

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 53435-21 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 11215 (ND)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036122047 (IL)

Record details

NPI number1013166925
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 16, 2008
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing addressN2950 State Road 67, Lake Geneva, WI 53147-2655

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated 2005 (21 years in practice)
Group practice Midwest Medical Center — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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