Organization · Type 2 NPI

Kenosha Surgicenter LLC

Non-Pharmacy Dispensing Site · Kenosha, WI

NPI number 1760101992 Active

Practice location

10105 74th St Ste 102
Kenosha, WI 53142-7530

Fax (888) 701-0578

Mailing address

2500 W Layton Ave Ste 120
Milwaukee, WI 53221-5400

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone 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.)

4 other providers at this address

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About NPI 1760101992

Kenosha Surgicenter LLC's National Provider Identifier is 1760101992, issued on Aug 23, 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 Aug 23, 2022.