OrganizationActive
Kenosha Pain Center LLC
NPI 1508448853 · Ambulatory Surgical Clinic/Center · Kenosha, WI
Provider details
- NPI number
- 1508448853
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Karen Bewer, Administrator(262) 297-7246
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
6123 Green Bay Rd Ste 100
Kenosha, WI 53142-2939
Phone: (262) 297-7246
Approximate (ZIP-level) locationGet directions
Mailing address
2500 W Layton Ave Ste 200
Milwaukee, WI 53221-5434
Registry dates
- Enumerated
- 2021-04-26
- Last updated
- 2021-05-04
- Certified
- 2021-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.