OrganizationActive
Endocrine Clinic of Kenosha , S.c.
NPI 1407039548 · Endocrinology, Diabetes & Metabolism Physician · Kenosha, WI
Provider details
- NPI number
- 1407039548
- Entity type
- Organization
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Farah Salahuddin, Owner(262) 842-0420
- License
- 45853020 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3535 30th Ave
Suite 101b
Kenosha, WI 53144-1632
Phone: (262) 842-0420
Fax: (262) 842-0423
Approximate (ZIP-level) locationGet directions
Mailing address
3535 30th Ave
Kenosha, WI 53144-1632
Registry dates
- Enumerated
- 2007-12-12
- Last updated
- 2007-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.