Organization · Type 2 NPI

Kenosha Family Practice, S.c.

Health Service Clinic/Center · Kenosha, WI

NPI number 1982770095 Active

Practice location

5923 Green Bay Rd
Kenosha, WI 53144-3737

Fax (262) 652-1928

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100X30201 (WI)

Health Service Clinic/Center: Definition to come...

4 other providers at this address

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About NPI 1982770095

Kenosha Family Practice, S.c.'s National Provider Identifier is 1982770095, issued on Nov 28, 2006. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Kenosha, WI. The record was last updated on Feb 20, 2014.