Organization · Type 2 NPI
Pain Physicians of Wisconsin, SC
Non-Pharmacy Dispensing Site · Kenosha, WI
NPI number
1447971684
Active
Practice location
10105 74th St
Kenosha, WI 53142-7510
Fax (888) 714-0578
Mailing address
2500 W Layton Ave Ste 200
Milwaukee, WI 53221-5434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | None listed |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
8 other providers at this address
- Southeast Wisconsin Ambulatory Surgical Center S CAmbulatory Surgical Clinic/Center Kenosha, WI NPI 1225153620
- Wisconsin Foot & Ankle Center LLCFoot & Ankle Surgery Podiatrist Kenosha, WI NPI 1356418800
- Wisconsin Neuropathy Center LLCPodiatrist Kenosha, WI NPI 1316014855
- Abigail Sorensen-Brittich, DPTPhysical Therapist Kenosha, WI NPI 1598920217
- Cheryl GrahamNurse Practitioner Kenosha, WI NPI 1265327233
- Jamie Young, FNPFamily Nurse Practitioner Kenosha, WI NPI 1952702045
- Jill A. Pocius, APNPNurse Practitioner Kenosha, WI NPI 1962625236
- Kostandinos Tsoulfas, MDPain Medicine Physician Kenosha, WI NPI 1013088277
Other non-pharmacy dispensing site providers in Kenosha
About NPI 1447971684
Pain Physicians of Wisconsin, SC's National Provider Identifier is 1447971684, issued on Sep 7, 2022. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Kenosha, WI. The record was last updated on Sep 16, 2026.