DR. KEITH KENJI SANO MD
NPI 1275516072
Emergency Medicine in Green Bay, WI

Q: What is Keith Sano's NPI number?

The NPI number for Keith Sano is 1275516072. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Q: What is Keith Sano's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Sano was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 November 25, 2005

744 S WEBSTER AVE, GREEN BAY, WI 54301(920) 433-3500(920) 433-7932 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Keith Kenji Sano Md NPPES

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

DR. KEITH KENJI SANO MD (NPI 1275516072) is an individual emergency medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (39387020) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1275516072

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. KEITH KENJI SANOCredential: MD

Location Address744 S WEBSTER AVEGreen Bay, WI 54301-3505

Mailing Address6400 Industrial LoopGreendale, WI 53129-2452 · (414) 423-4100 · Fax (414) 423-4134

Phone(920) 433-3500

Fax(920) 433-7932

Sole ProprietorNo

Enumeration DateNovember 25, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1275516072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WI · 39387020

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

744 S WEBSTER AVE, Green Bay, WI 54301

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Other Identifiers 2

Medicare UPIND43490

Medicaid32397100WI

Other Providers at the Same Location NPPES 20

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

TAMMY ANN MOTQUIN

Nurse Practitioner (Family)