Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Children's Medical Group

Organization Pediatrics Physician · NPI 1740455096

Children's Medical Group is a Pediatrics Physician in Kenosha, Wisconsin. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

6809 122nd Ave
Kenosha, WI 53142-7335
Phone: (262) 654-8633
Fax: (262) 654-5467
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1740455096
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChildren's Medical Group
Authorized official Smriti Khare — President, Children'S Medical Group · (414) 266-7615
Other names Kenosha Pediatrics; Kenosha Pediatrics
NPI enumeratedApril 28, 2008
Last updated in NPPESFebruary 5, 2019
Mailing address9000 W Wisconsin Ave, Ms 958, Milwaukee, WI 53226-4874

Other providers in Kenosha