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

Kinetic Spine and Pain SC

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1013738509

Kinetic Spine and Pain SC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Shorewood, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4491 N Oakland Ave
Shorewood, WI 53211-1611
Phone: (414) 999-3815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X

Record details

NPI number1013738509
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Oscar Wille — President & Ceo · (414) 232-7268
NPI enumeratedOctober 18, 2024
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024
Mailing address4491 N Oakland Ave, Shorewood, WI 53211-1611

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