Organization
NEUROLOGY CENTER OF KENOSHA, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WALTER JONES JR. M.D. (PRESIDENT)
(262) 656-8888
Entity
Organization
Contact information
Practice address
704 55TH ST, KENOSHA, WI 53140-3732
(262) 656-8888
(262) 656-8892
Mailing address
704 55TH ST, KENOSHA, WI 53140-3732
(262) 656-8888
(262) 656-8892
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
29016
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500018
UNITEDHEALTHCARE
WI
05
—
31381100
—
WI
Enumeration date
09/17/2006
Last updated
08/22/2020
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