Organization · Type 2 NPI

Kenosha Pain Center LLC

Ambulatory Surgical Clinic/Center · Kenosha, WI

NPI number 1508448853 Active

Practice location

6123 Green Bay Rd Ste 100
Kenosha, WI 53142-2939

Mailing address

2500 W Layton Ave Ste 200
Milwaukee, WI 53221-5434

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

4 other providers at this address

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About NPI 1508448853

Kenosha Pain Center LLC's National Provider Identifier is 1508448853, issued on Apr 26, 2021. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Kenosha, WI. The record was last updated on May 4, 2021.