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

Individual provider Physician Assistant · NPI 1225061450

Kengo Seo, PA-C is a Physician Assistant in Marshfield, Wisconsin. Graduated from University of Alabama School of Medicine in 2002, 24 years ago. Practices with Lakeview Medical Center Inc of Rice Lake, a 170-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
24
Trained at
University of Alabama School of Medicine
Licensed in
MN, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone: (715) 387-5511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2658 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 9798 (MN)

Record details

NPI number1225061450
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 9, 2006
Last updated in NPPESNovember 17, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Lakeview Medical Center Inc Of Rice Lake — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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