OrganizationActive
Family Pediatrics, Inc.
NPI 1518291376 · Primary Care Clinic/Center · Kenosha, WI
Provider details
- NPI number
- 1518291376
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Zaigham Tahir, President(262) 564-0611
- License
- 036.102772 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
3601 30th Ave
Kenosha, WI 53144-1695
Phone: (262) 564-0611
Approximate (ZIP-level) locationGet directions
Mailing address
3601 30th Ave
Kenosha, WI 53144-1695
Registry dates
- Enumerated
- 2009-09-28
- Last updated
- 2009-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.