DIANE M KEEHN PA-C
NPI 1194883512
Physician Assistant in Edgerton, WI

Q: What is Diane Keehn's NPI number?

The NPI number for Diane Keehn is 1194883512. It was assigned to this individual provider in the NPPES registry on December 5, 2006. The provider is also known as Diane M Wilke Pa-C.

Q: What is Diane Keehn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Diane Keehn was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 05, 2006

11051 N SHERMAN RD, EDGERTON, WI 53534(608) 884-3354(608) 884-5022 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2022, Nov 30, 2020, Sep 26, 2019 and 1 more (4 updates tracked since 2019).

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About Diane M Keehn Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE M KEEHN PA-C (NPI 1194883512) is an individual physician assistant in Edgerton, Wisconsin, licensed in Wisconsin (1456) and active in the NPI registry since December 2006. She maintains a secondary practice location in Evansville.

NPPES Registry Identity

NPI1194883512

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameDIANE M KEEHNCredential: PA-C

Location Address11051 N SHERMAN RDEdgerton, WI 53534-9002

Mailing Address11051 N Sherman RdEdgerton, WI 53534-9002 · (608) 884-3354 · Fax (608) 884-5022

Phone(608) 884-3354

Fax(608) 884-5022

Sole ProprietorNo

Enumeration DateDecember 5, 2006

Last NPPES UpdateAugust 22, 20224 updates tracked since enumeration

NPPES CertifiedAugust 22, 2022

✔ NPI 1194883512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 1456

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 1456 (WI)

11051 N SHERMAN RD, Edgerton, WI 53534

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Other Names 1

Former Name (1)Diane M Wilke Pa-c

Secondary Practice Location 1

Location 16750 W Fenrick RdEvansville, WI 53536 · Phone (608) 201-6817

Other Identifiers 1

Medicaid1194883512WI

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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