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

Froedtert South, Inc

Organization Family Medicine Physician · NPI 1558305284

Froedtert South, Inc is a Family Medicine Physician in Kenosha, Wisconsin. Medicare rates this hospital 2 out of 5. Registered with an NPI since 2006.

CMS rating
2 of 5
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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CMS quality rating

2 out of 5 — official hospital rating from CMS Care Compare (CCN 520021)

Practice location Address checks out

6308 8th Ave
Kenosha, WI 53143
Phone: (262) 656-2718
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1558305284
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFroedtert South, Inc
Authorized official Thomas Kelley — Vice President & Cfo · (262) 577-8113
Other names Froedtert South Medical Group
NPI enumeratedJune 15, 2006
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023
Mailing addressPo Box 130, Kenosha, WI 53141-0130

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