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Organization

KENOSHA PAIN CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KAREN M BEWER RN BSN (ADMINISTRATOR)
(262) 297-7246
Entity
Organization

Contact information

Practice address
6123 GREEN BAY RD STE 100, KENOSHA, WI 53142-2939
(262) 297-7246
Mailing address
2500 W LAYTON AVE STE 200, MILWAUKEE, WI 53221-5434
(262) 297-7246

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
04/26/2021
Last updated
05/04/2021
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