# PAIN PHYSICIANS OF WISCONSIN, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447971684
- **Authorized official:** KEVIN HOOKER (HR)
- **Authorized official phone:** (262) 297-7246

## Contact information

- **Practice address:** 10105 74TH ST, KENOSHA, WI 53142-7510
- **Practice address phone:** (262) 297-7246
- **Practice address fax:** (888) 714-0578
- **Mailing address:** 2500 W LAYTON AVE STE 200, MILWAUKEE, WI 53221-5434
- **Mailing address phone:** (262) 297-7246
- **Mailing address fax:** (888) 714-0578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2022
- **Last updated:** 09/16/2026