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Allergy & Asthma Clinic Of Kenosha Sc
Medical Specialty Clinic/Center in Kenosha, Wisconsin
NPI 1649202128

Allergy & Asthma Clinic Of Kenosha Sc is a Medical Specialty Clinic/Center based in Kenosha, WI and is specialized in Medical Specialty. Allergy & Asthma Clinic Of Kenosha Sc practices in Kenosha, WI. The NPI Number for Allergy & Asthma Clinic Of Kenosha Sc is 1649202128 and holds a License No. (Wisconsin).

The current practice location address for Allergy & Asthma Clinic Of Kenosha Sc is 4906 39Th Ave, Kenosha, WI and can be reached out via phone at 262-657-9390 and via fax at 262-657-4666.

Location: 4906 39Th Ave, Kenosha, WI, 53144-2108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649202128
Provider Name
Allergy & Asthma Clinic Of Kenosha Sc
Credential
Provider Entity Type
Organization
Address
4906 39Th Ave, Kenosha, WI, 53144-2108
Phone Number
262-657-9390
Fax Number
262-657-4666
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32656900 05 WI
institution
Provider Business Practice Location Address Details
Address
4906 39Th Ave
City
Kenosha
State
Wisconsin
Zip
53144-2108
Phone Number
262-657-9390
Fax Number
262-657-4666
person
Provider Business Mailing Address Details
Address
4906 39Th Ave
City
Kenosha
State
Wisconsin
Zip
53144-2108
Phone Number
262-657-9390
Fax Number
262-657-4666
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
(Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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