Kenosha Family Practice, SC
Kenosha Family Practice, SC is a Health Service Clinic/Center in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
Practice location Address checks out
5923 Green Bay RdKenosha, WI 53144-3737
Phone: (262) 652-0500
Fax: (262) 652-1928
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X · Licence 30201 (WI) |
|---|
Record details
| NPI number | 1982770095 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephen Feuerbach — President · (262) 652-0500 |
| NPI enumerated | November 28, 2006 |
| Last updated in NPPES | February 20, 2014 |
| Mailing address | 5923 Green Bay Rd, Kenosha, WI 53144-3737 |
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-
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