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

Endocrine Clinic of Kenosha , SC

Organization Endocrinology, Diabetes & Metabolism Physician · NPI 1407039548

Endocrine Clinic of Kenosha , SC is an Endocrinology, Diabetes & Metabolism Physician in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

3535 30th Ave Ste 101B
Kenosha, WI 53144-1632
Phone: (262) 842-0420
Fax: (262) 842-0423
Show map & directions

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

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 45853020 (WI)

Record details

NPI number1407039548
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Farah Salahuddin — Owner · (262) 842-0420
NPI enumeratedDecember 12, 2007
Last updated in NPPESDecember 12, 2007
Mailing address3535 30th Ave, Suite 101b, Kenosha, WI 53144-1632

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