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Kenosha Vascular Laboratory
Specialist in Kenosha, Wisconsin
NPI 1922258540

Kenosha Vascular Laboratory is a Specialist based in Kenosha, WI. Kenosha Vascular Laboratory practices in Kenosha, WI. The NPI Number for Kenosha Vascular Laboratory is 1922258540 and holds a License No. 22193 (Wisconsin).

The current practice location address for Kenosha Vascular Laboratory is 6308 8Th Ave Ste 301, Kenosha, WI and can be reached out via phone at 262-656-8265.

Location: 6308 8Th Ave Ste 301, Kenosha, WI, 53143-5031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922258540
Provider Name
Kenosha Vascular Laboratory
Credential
Provider Entity Type
Organization
Address
6308 8Th Ave Ste 301, Kenosha, WI, 53143-5031
Phone Number
262-656-8265
Fax Number
Provider Enumeration Date
09/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376537993 01 WI MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
6308 8Th Ave Ste 301
City
Kenosha
State
Wisconsin
Zip
53143-5031
Phone Number
262-656-8265
Fax Number
person
Provider Business Mailing Address Details
Address
6308 8Th Ave Ste 301
City
Kenosha
State
Wisconsin
Zip
53143-5031
Phone Number
262-656-8265
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
22193 (Wisconsin)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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