Kenosha Kidney Dialysis LLC
NPI 1730219924 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Kenosha, WI
Kenosha Kidney Dialysis LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Kenosha, WI (NPI 1730219924).
Provider details
- NPI number
- 1730219924
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathan Wilcox, Cfo(978) 922-3080
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2017-03-16
Frequently asked questions
- What is Kenosha Kidney Dialysis LLC's NPI number?
- Kenosha Kidney Dialysis LLC's National Provider Identifier (NPI) is 1730219924, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenosha Kidney Dialysis LLC?
- Kenosha Kidney Dialysis LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kenosha Kidney Dialysis LLC located?
- Kenosha Kidney Dialysis LLC's practice location on file with NPPES is 6125 Green Bay Rd, Kenosha, WI 53142-2942.
- What is Kenosha Kidney Dialysis LLC's phone number?
- The practice phone number listed in the NPPES registry for Kenosha Kidney Dialysis LLC is (262) 652-1776.
- Who is the authorized official for Kenosha Kidney Dialysis LLC?
- The authorized official listed on Kenosha Kidney Dialysis LLC's NPPES record is Jonathan Wilcox, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenosha Kidney Dialysis LLC's NPI active?
- Yes — Kenosha Kidney Dialysis LLC's NPI (1730219924) is active in the NPPES registry as of the last update on 2017-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.