Graduated: 2020
NPI: 1124773627
Practice Locations (2)
KENOSHA COMMUNITY HEALTH CENTER, INC.
4536 22ND AVE
KENOSHA, WI 531405917
2626560044
KENOSHA COMMUNITY HEALTH CENTER, INC.
6226 14TH AVE
KENOSHA, WI 531434413
2626560044
Source: CMS National Downloadable File, September 2026.