Kenosha Surgicenter LLC
Kenosha Surgicenter LLC is an Ambulatory Surgical Clinic/Center in Kenosha, Wisconsin. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10105 74th St Ste 102Kenosha, WI 53142-7530
Phone: (262) 297-7246
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X |
|---|
Record details
| NPI number | 1669111274 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Russel Lein — Chief Executive Officer · (414) 531-4327 |
| NPI enumerated | June 1, 2022 |
| Last updated in NPPES | June 8, 2022 |
| Certification date | June 8, 2022 |
| Mailing address | 2500 W Layton Ave Ste 120, Milwaukee, WI 53221-5400 |
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