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

Kenosha Kidney Dialysis LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1730219924

Kenosha Kidney Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kenosha, Wisconsin. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6125 Green Bay Rd Ste 100
Kenosha, WI 53142-2942
Phone: (262) 652-1776
Fax: (262) 652-2702
Show map & directions

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

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1730219924
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Wilcox — Cfo · (978) 922-3080
NPI enumeratedMarch 6, 2007
Last updated in NPPESMarch 16, 2017
Mailing address6125 Green Bay Rd, Suite 100, Kenosha, WI 53142-2942

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