Organization · Type 2 NPI
Pain Centers of Wisconsin - Kenosha, LLC
Durable Medical Equipment & Medical Supplies · Kenosha, WI
Practice location
9697 Saint Catherines Dr Ste 102
Kenosha, WI 53158-2119
Fax (414) 325-3770
Mailing address
4131 W Loomis Rd Ste 300
Greenfield, WI 53221-2059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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About NPI 1629631536
Pain Centers of Wisconsin - Kenosha, LLC's National Provider Identifier is 1629631536, issued on Apr 16, 2019. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Kenosha, WI. The record was last updated on Apr 16, 2019.