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

Kenosha Community Health Center, Inc

Organization Family Medicine Physician · NPI 1770789489

Kenosha Community Health Center, Inc is a Family Medicine Physician in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6226 14th Ave
Kenosha, WI 53143
Phone: (262) 925-1350
Fax: (262) 653-2218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X (WI)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1770789489
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Stampfl — Cfo · (262) 771-3561
Other names Pillar Health
NPI enumeratedJune 21, 2007
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address4006 Washington Rd, Kenosha, WI 53144-4819

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