OrganizationActive
Pain Physicians of Wisconsin, Sc
NPI 1447971684 · Non-Pharmacy Dispensing Site · Kenosha, WI
Provider details
- NPI number
- 1447971684
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Kevin Hooker, Hr(262) 297-7246
Specialties & taxonomies
Suppliers
Practice location
10105 74th St
Kenosha, WI 53142-7510
Phone: (262) 297-7246
Fax: (888) 714-0578
Approximate (ZIP-level) locationGet directions
Mailing address
2500 W Layton Ave Ste 120
Milwaukee, WI 53221-5400
Registry dates
- Enumerated
- 2022-09-07
- Last updated
- 2022-09-14
- Certified
- 2022-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.