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Kenosha Pain Center Llc
Ambulatory Surgical Clinic/Center in Kenosha, Wisconsin
NPI 1508448853

Kenosha Pain Center Llc is an Ambulatory Surgical Clinic/Center based in Milwaukee, WI and is specialized in Ambulatory Surgical. Kenosha Pain Center Llc practices in Kenosha, WI. The NPI Number for Kenosha Pain Center Llc is 1508448853 and holds a License No. (Wisconsin).

The current practice location address for Kenosha Pain Center Llc is 6123 Green Bay Rd Ste 100, Kenosha, WI and can be reached out via phone at 262-297-7246.

Location: 6123 Green Bay Rd Ste 100, Kenosha, WI, 53221-5434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508448853
Provider Name
Kenosha Pain Center Llc
Credential
Provider Entity Type
Organization
Address
6123 Green Bay Rd Ste 100, Kenosha, WI, 53221-5434
Phone Number
262-297-7246
Fax Number
Provider Enumeration Date
04/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6123 Green Bay Rd Ste 100
City
Kenosha
State
Wisconsin
Zip
53142-2939
Phone Number
262-297-7246
Fax Number
person
Provider Business Mailing Address Details
Address
6123 Green Bay Rd Ste 100
City
Kenosha
State
Wisconsin
Zip
53142-2939
Phone Number
262-297-7246
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
()
Definition
Definition to come...
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