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Kenosha Surgicenter Llc
Non-Pharmacy Dispensing Site in Kenosha, Wisconsin
NPI 1760101992

Kenosha Surgicenter Llc is a Non-Pharmacy Dispensing Site based in Milwaukee, WI. Kenosha Surgicenter Llc practices in Kenosha, WI. The NPI Number for Kenosha Surgicenter Llc is 1760101992 and holds a License No. (Wisconsin).

The current practice location address for Kenosha Surgicenter Llc is 10105 74Th St Ste 102, Kenosha, WI and can be reached out via phone at 262-297-7246 and via fax at 888-701-0578.

Location: 10105 74Th St Ste 102, Kenosha, WI, 53221-5400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760101992
Provider Name
Kenosha Surgicenter Llc
Credential
Provider Entity Type
Organization
Address
10105 74Th St Ste 102, Kenosha, WI, 53221-5400
Phone Number
262-297-7246
Fax Number
888-701-0578
Provider Enumeration Date
08/23/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10105 74Th St Ste 102
City
Kenosha
State
Wisconsin
Zip
53142-7530
Phone Number
262-297-7246
Fax Number
888-701-0578
person
Provider Business Mailing Address Details
Address
10105 74Th St Ste 102
City
Kenosha
State
Wisconsin
Zip
53142-7530
Phone Number
262-297-7246
Fax Number
888-701-0578
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
()
Definition
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.)
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