KENOSHA KIDNEY DIALYSIS LLC

KENOSHA, WI
NPI1730219924
Entity TypeOrganization
Authorized ContactJONATHAN WILCOX
CFO
978-922-3080
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2007-03-06
Last Update Date2017-03-16
Business Address
KENOSHA KIDNEY DIALYSIS LLC
6125 GREEN BAY RD SUITE 100
KENOSHA, WI 53142-2942
Phone number: 262-652-1776
Mailing Address
KENOSHA KIDNEY DIALYSIS LLC
6125 GREEN BAY RD SUITE 100
KENOSHA, WI 53142-2942
Phone number: 262-652-1776