Kellan Brett Klubben, MD
Kellan Brett Klubben, MD is a Family Practice in Hayward, Wisconsin. Qualified in 2021, 5 years ago. Practices with Advantage Physical Therapy and Sports Rehab, LLC, a 286-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 5
- Licensed in
- WI
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
11040 N State Rd 77Hayward, WI 54843
Phone: (715) 934-4910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 84153-20 (WI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1144800905 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 14, 2021 |
| Last updated in NPPES | September 11, 2024 |
| Certification date | June 30, 2021 |
| Mailing address | 11040 N State Rd 77, Hayward, WI 54843 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Advantage Physical Therapy And Sports Rehab, Llc — 286 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Hayward
-
Emma Barner
15954 Riversedge Dr, Hayward, WI 54843 · (715) 634-2541