OrganizationActive
Kenosha Family Practice, S.c.
NPI 1982770095 · Health Service Clinic/Center · Kenosha, WI
Provider details
- NPI number
- 1982770095
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephen Feuerbach, President(262) 652-0500
- License
- 30201 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5923 Green Bay Rd
Kenosha, WI 53144-3737
Phone: (262) 652-0500
Fax: (262) 652-1928
Approximate (ZIP-level) locationGet directions
Mailing address
5923 Green Bay Rd
Kenosha, WI 53144-3737
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2014-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.