Organization · Type 2 NPI
Kenosha Vascular Lab Inc
Specialist · Kenosha, WI
NPI number
1033246152
Active
Practice location
6308 8th Ave, Suite 301
Kenosha, WI 53143-5031
Fax (262) 656-8273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 22193 (WI) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1033246152
Kenosha Vascular Lab Inc's National Provider Identifier is 1033246152, issued on Feb 27, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Kenosha, WI. The record was last updated on Aug 22, 2020.